Modified technique to extract malpositioned or migrated self-expanding stents from the esophagus and stomach

Juan Carlos Munoz, Joe E. Khoury, Mary Alizadeh, Sunitha Pudhota, Aja Smith-Mccutchen, Ana M. Corregidor, Louis R. Lambiase, Kenneth J. Vega

Research output: Contribution to journalArticle

3 Scopus citations

Abstract

Background and Aim: Various methods have been used to remove self expandable stents (SES) because of either malposition or migration. The main difficulties encountered in such situations are the anatomic obstacle of the lower and upper esophageal sphincters as well as risk of mucosal injury during removal. Methods: We describe a modified approach using an esophagogastroduodenoscope (EGD) in combination with a foreign body hood protector, rat tooth forceps and snare allowing for successful SES removal from the upper gastrointestinal tract in four cases. Results: In all cases, the SES were successfully removed from upper gastrointestinal tract using this technique. No complications were noted after extraction. Conclusion: The foreign body hood protector combined with rat tooth forceps/snare technique is a safe and effective alternative to previously described methods for extraction of SES from the upper gastrointestinal tract. This method may be applicable for the removal of other such objects within the endoscope's reach.

Original languageEnglish (US)
Pages (from-to)547-551
Number of pages5
JournalJournal of Gastroenterology and Hepatology (Australia)
Volume24
Issue number4
DOIs
StatePublished - Apr 2009
Externally publishedYes

Keywords

  • Endoscopy
  • Extraction
  • Self-expanding stents
  • Technique

ASJC Scopus subject areas

  • Hepatology
  • Gastroenterology

Fingerprint Dive into the research topics of 'Modified technique to extract malpositioned or migrated self-expanding stents from the esophagus and stomach'. Together they form a unique fingerprint.

  • Cite this