Endoscopic removal of migrated esophageal stent: the “cap-assisted” method

Endoscopic removal of two intertwined esophageal stents from the stomach

“…While there are several reports of endoscopic removal of a migrated esophageal stent, reports on migrated double stents are scarce 1–5 . We usually try to remove the migrated stent when the upper endoscope of a normal diameter passes through the EGJ.…”

Single‐balloon enteroscopy assisted successful removal of a migrated covered self‐expandable metal stent for hepaticojejunostomy anastomotic stenosis

“…Although passing the ileum was extremely challenging due to severe adhesion, the SEMS was reached finally. The small intestine was narrowing and ulcerated; the migrated SEMS was pulled into the transparent cap fixed on the tip of the endoscope, 1 and successfully removed without perforation and bleeding through careful manipulation (Fig. 2, Video S1).…”

Slingshot technique: Unique technique for removing an esophageal stent that migrated into the stomach

“…Stent migration, with a reported frequency of up to 40%, is a major complication of esophageal stenting. 1 Although several studies report on the removal of migrated esophageal stents, 2,3 the technique has not been well-established. The existing removal technique can cause difficulties when pulling the tip of a stent into the transparent cap, especially in dumbbell-or flared-shaped flanges.…”