Okumuş Mustafa
Yeniyüzyıl University, Faculty of Medicine, Department of Pediatric Surgery, Gaziosmanpaşa Hospital and Bahat Hospital, İstanbul, Turkey.
Case Rep Surg. 2020 Sep 4;2020:8851112. doi: 10.1155/2020/8851112. eCollection 2020.
Migration is the most frequent and well-known complication of self-expandable metal stents (SEMS). Most of the time, migrated stents are still in the esophagus and can be relocated or removed successfully through endoscopy. However, what can be done if the stent is stuck between two esophageal strictures? Herein, we present a child with a trapped esophageal stent.
A 2-year-old male patient with an esophageal stent which migrated and became stuck between two esophageal strictures was reported.
Proximal stricture was excised, and the stent was removed via a right thoracotomy. Balloon dilatation was applied to the distal stricture. The patient was discharged on the 17th postoperative day without any problem.
Pediatric patients with an esophageal stent should be closely followed up during this period. Early detection of complications makes treatment easier. Otherwise, there may be no option other than surgical treatment, as in the patient presented here.
移位是自膨式金属支架（SEMS）最常见且广为人知的并发症。大多数情况下，移位的支架仍位于食管内，可通过内镜成功重新定位或取出。然而，如果支架卡在两个食管狭窄之间该怎么办？在此，我们报告一名食管支架被困的儿童病例。
报告一名2岁男性患者，其食管支架移位并卡在两个食管狭窄之间。
切除近端狭窄，通过右胸切开术取出支架。对远端狭窄进行球囊扩张。患者术后第17天顺利出院，无任何问题。
在此期间，应密切随访置入食管支架的儿科患者。早期发现并发症会使治疗更容易。否则，可能像此处所介绍的患者一样，除了手术治疗别无他法。
