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使用聚氟乙烯支架移除食管-结肠吻合口狭窄处的金属支架。

Removal of metallic stent by using polyflex stent in esophago-colic anastomotic stricture.

作者信息

Tunçözgür Bülent, Savaş Muhammet Cemil, Işik Ahmet Feridun, Sarimehmetoğlu Akin, Sanli Maruf, Elbeyli Levent

机构信息

Department of Thoracic Surgery, Gaziantep University Medical School, Gaziantep, Turkey.

出版信息

Ann Thorac Surg. 2006 Nov;82(5):1913-4. doi: 10.1016/j.athoracsur.2006.03.058.

Abstract

Benign strictures or anastomoses of the esophagus can be treated by stents. However, short-term and long-term complications, including migration and hyperplastic tissue reaction can occur. Bowel reconstruction by interposition has been performed after esophagectomy. Stricture of cervical anastomosis is an important late complication. Self-expandable metallic stents have been used to improve this problem. To remove the obstructed metallic stent, self-expandable covered plastic stents can be used. Herein we present the removal technique of tissue-embedded self-expandable metallic stents by using self-expandable covered plastic stents after colon interposition in a case of benign cervical anastomosis of the esophagus due to caustic stricture.

摘要

食管良性狭窄或吻合口狭窄可用支架治疗。然而,可能会出现短期和长期并发症,包括支架移位和增生性组织反应。食管切除术后已采用肠段间置术进行肠道重建。颈部吻合口狭窄是一种重要的晚期并发症。自膨式金属支架已被用于改善这一问题。为取出阻塞的金属支架,可使用自膨式覆膜塑料支架。在此,我们介绍了在一例因腐蚀性狭窄导致食管良性颈部吻合口狭窄的病例中,在结肠间置术后使用自膨式覆膜塑料支架取出组织包埋的自膨式金属支架的技术。

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