Migrated Esophageal Stent Endoscopic Extraction through Gastrostomy Site in a Patient with Severe Esophageal Stricture

Abstract

A 36-year-old woman with a history of benign refractory esophageal stricture from gastroesophageal reflux disease was treated with anesophageal stent and a gastrostomy tube 2 months prior to presenting with acute dysphagia and odynophagia. Esophagram and upper endoscopy revealed esophageal stent migration into the stomach and a pinpoint stricture of the distal third of the esophagus, which made retrograde extraction unfeasible. The stent was successfully extracted through the pre-existing gastrostomy site after dilating the site with a controlled radial expansion balloon. This is the first reported case of stent extraction through a gastrostomy site.

Esophageal Stent Migration Diagnosed With Point-of-Care Ultrasound

“…Esophageal stent migration is a common complication and carries a risk of intestinal obstruction and perforation. Removal of migrated stents is recommended urgently rather than emergently and is usually safe with a high success rate [ 4 , 5 ]. Our case involved a 63-year-old male patient presenting with severe intractable abdominal pain who provided an unreliable history.…”