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内镜下放置后自发性食管支架断裂：一例报告

Spontaneous Endoscopic Esophageal Stent Fracture Post-endoscopic Placement: A Case Report.

作者信息

Fazal Zoha Zahid, Ibrahim Muhammad Bilal, Saeed Muhammad Ibrahim, Ayesha Syedda, Majeed Atif

机构信息

Medical College, Aga Khan University, Karachi, PAK.

Internal Medicine, John H. Stroger Cook Country Hospital, Chicago, USA.

出版信息

Cureus. 2023 Nov 25;15(11):e49406. doi: 10.7759/cureus.49406. eCollection 2023 Nov.

DOI:10.7759/cureus.49406
PMID:38149152
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10749889/
Abstract

Endoscopic esophageal stent (EES) placement is an important tool for the non-operative management of esophageal pathologies. A rare and infrequently reported complication of EES placement is stent fracture and subsequent migration of the broken fragments. We report a rare case of a spontaneous EES fracture from Pakistan four weeks following its placement for esophageal perforation management, and an uneventful endoscopic retrieval of the fractured stent pieces. The recommended guidelines from available, albeit limited, research literature are also discussed as part of this case report.

摘要

内镜下食管支架（EES）置入是食管疾病非手术治疗的重要手段。EES置入的一种罕见且鲜有报道的并发症是支架断裂及随后碎块的移位。我们报告一例来自巴基斯坦的罕见病例，患者在因食管穿孔置入EES四周后发生自发性EES断裂，且内镜下顺利取出断裂的支架碎片。作为本病例报告的一部分，我们还讨论了现有（尽管有限）研究文献中的推荐指南。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5675/10749889/d7b0b88541c5/cureus-0015-00000049406-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5675/10749889/be09a932d440/cureus-0015-00000049406-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5675/10749889/3ce3b3010c86/cureus-0015-00000049406-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5675/10749889/d7b0b88541c5/cureus-0015-00000049406-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5675/10749889/be09a932d440/cureus-0015-00000049406-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5675/10749889/3ce3b3010c86/cureus-0015-00000049406-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5675/10749889/d7b0b88541c5/cureus-0015-00000049406-i03.jpg

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Spontaneous Endoscopic Esophageal Stent Fracture Post-endoscopic Placement: A Case Report.内镜下放置后自发性食管支架断裂：一例报告
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本文引用的文献

1
Small Bowel Obstruction Secondary to Migration of a Fractured Esophageal Stent.食管支架断裂移位继发小肠梗阻
Cureus. 2022 Oct 28;14(10):e30802. doi: 10.7759/cureus.30802. eCollection 2022 Oct.
2
Minimally invasive management of esophageal perforation.食管穿孔的微创治疗
Turk Gogus Kalp Damar Cerrahisi Derg. 2018 Jul 3;26(3):496-503. doi: 10.5606/tgkdc.dergisi.2018.15354. eCollection 2018 Jul.
3
Comparison of fully-covered vs partially covered self-expanding metallic stents for palliative treatment of inoperable esophageal malignancy: a systematic review and meta-analysis.
完全覆膜与部分覆膜自膨式金属支架姑息治疗不可切除食管恶性肿瘤的比较：系统评价和荟萃分析。
BMC Cancer. 2020 Jan 30;20(1):73. doi: 10.1186/s12885-020-6564-6.
4
Esophageal Stenting in Clinical Practice: an Overview.临床实践中的食管支架置入术：概述
Curr Treat Options Gastroenterol. 2018 Jun;16(2):260-273. doi: 10.1007/s11938-018-0181-3.
5
Self-Expandable Metallic Stent Placement for the Palliation of Esophageal Cancer.自膨式金属支架置入术用于食管癌的姑息治疗
J Korean Med Sci. 2017 Jul;32(7):1062-1071. doi: 10.3346/jkms.2017.32.7.1062.
6
Endoscopic management of esophageal leaks.食管漏的内镜治疗
J Thorac Dis. 2017 Mar;9(Suppl 2):S135-S145. doi: 10.21037/jtd.2017.03.100.
7
Esophageal stent fracture: case report and review of the literature.食管支架断裂：病例报告及文献综述
World J Gastroenterol. 2014 Mar 14;20(10):2715-20. doi: 10.3748/wjg.v20.i10.2715.
8
Stent fracture: how frequently is it recognized?支架断裂：其被识别的频率如何？
Heart Views. 2013 Apr;14(2):72-81. doi: 10.4103/1995-705X.115501.
9
A comprehensive review of esophageal stents.食管支架的全面综述。
Gastroenterol Hepatol (N Y). 2012 Aug;8(8):526-34.
10
Esophageal stent placement for the treatment of iatrogenic intrathoracic esophageal perforation.食管支架置入术治疗医源性胸段食管穿孔
Ann Thorac Surg. 2007 Jun;83(6):2003-7; discussion 2007-8. doi: 10.1016/j.athoracsur.2007.02.025.