Al Hajjar Nadim, Popa Calin, Al-Momani Tareg, Margarit Simona, Graur Florin, Tantau Marcel
Department of Surgery, Regional Institute of Gastroenterology and Hepatology "Prof. Dr. Octavian Fodor", Croitorilor Street, No. 19-21, 400162 Cluj-Napoca, Romania ; 3rd Surgical Clinic, Iuliu Hatieganu University of Medicine and Pharmacy, Croitorilor Street, No. 19-21, 400162 Cluj-Napoca, Romania.
Department of Surgery, Regional Institute of Gastroenterology and Hepatology "Prof. Dr. Octavian Fodor", Croitorilor Street, No. 19-21, 400162 Cluj-Napoca, Romania ; Training and Research Center "Prof. Dr. Sergiu Duca", Petre Ispirescu Street, No. 1, 400090 Cluj-Napoca, Romania.
Case Rep Surg. 2015;2015:839057. doi: 10.1155/2015/839057. Epub 2015 Apr 6.
Esophagojejunal anastomosis fistula is the main complication after a total gastrectomy. To avoid a complex procedure on friable inflamed perianastomotic tissues, a coated self-expandable stent is mounted at the site of the anastomotic leak. A complication of stenting procedure is that it might lead to distal esophageal stenosis. However, another frequently encountered complication of stenting is stent migration, which is treated nonsurgically. When the migrated stent creates life threatening complications, surgical removal is indicated. We present a case of a 67-year-old male patient who was treated at our facility for a gastric adenocarcinoma which developed, postoperatively, an esophagojejunostomy fistula, a distal esophageal stenosis, and a metallic coated self-expandable stent migration. To our knowledge, this is the first reported case of an esophagojejunostomy fistula combined with a distal esophageal stenosis as well as with a metallic coated self-expandable stent migration.
食管空肠吻合口瘘是全胃切除术后的主要并发症。为避免在脆弱的炎症性吻合口周围组织上进行复杂手术，在吻合口漏处放置了一个带涂层的自膨式支架。支架置入术的一个并发症是可能导致食管远端狭窄。然而，支架置入术另一个常见的并发症是支架移位，对此采用非手术治疗。当移位的支架引发危及生命的并发症时，则需手术取出。我们报告一例67岁男性患者，在我们医院接受治疗，该患者因胃腺癌术后出现食管空肠吻合口瘘、食管远端狭窄以及带金属涂层的自膨式支架移位。据我们所知，这是首例报道的食管空肠吻合口瘘合并食管远端狭窄以及带金属涂层的自膨式支架移位的病例。
