Self-Expandable Metallic Stent Therapy of Esophagojejunal Stricture in a Stapled Anastomosis: A Case Report and Review of the Literature

Abstract

The introduction of the stapler apparatus has provided safe and effective gastrointestinal anastomotic surgical operations for most surgeons. However, the major disadvantage of stapler surgery is an increased risk of anastomotic stricture formation. Treatment of this kind of stricture is performed mainly by using endoscopic balloon dilators. However, this therapy may fail or the patient may become reactive or uncooperative during dilatation sessions. Herein, we present a case to show the successful and uncomplicated insertion of a self-expanding metallic stent into an esophagojejunal anastomotic stricture which developed 1 month after total gastrectomy and stapled esophagojejunal anastomosis in a patient with gastric carcinoma. This is the 3rd report in the literature.

Percutaneous Trans-Esophageal Gastrostomy for Oral Intake in a Case of Anastomotic Obstruction following Total Gastrectomy

“…Anastomotic passage obstruction may be a relatively rare late-stage complication following total gastrectomy and may be caused by stenosis or flexion. Endoscopic treatment is the main treatment for anastomotic stenosis, and there are reports of balloon dilatation [12] , argon plasma coagulation [13] , and stent placement [14] . However, surgical treatments, such as anastomotic reconstruction, are considered for cases where endoscopic treatment is ineffective.…”

Anastomosenprobleme in der Magenchirurgie

“…In mehreren Fallberichten wurde über die erfolgreiche Implantation von Metallstents und damit die Beseitigung bzw. Verbesserung der Dysphagie bei Stenosen der Ösophagojejunostomie berichtet [48].…”