Multimodal endoscopic treatment for delayed severe esophageal stricture caused by incomplete stent removal
Multimodal endoscopic treatment for delayed severe esophageal stricture caused by incomplete stent removal
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多模态内镜治疗支架取出不全所致迟发性严重食管狭窄
DOI：
10.1111/dote.12041
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发表时间：
2014
期刊：
影响因子：
2.6
通讯作者：
Chiba T
中科院分区：
文献类型：
--
作者：
Setoyma T;Miyamoto S;Horimatsu T;Morita S;Ezoe Y;Muto M;Watanabe G;Tanaka E;Chiba T
覆膜自膨式金属支架治疗良性食管狭窄和穿孔的有效性已得到充分证实。在良性疾病的情况下，建议在放置后6-8周内早期取出支架。报告一例自发性食管破裂支架置入7年后支架取出不完全导致严重食管狭窄的病例。残余支架碎片可通过逐步多模式内镜治疗取出，产生令人满意的食管管腔直径。特别是，采用氩等离子体凝固进行支架修剪是安全有效的策略。内窥镜支架移除是微创的，应在手术干预之前尝试;但是，最重要的是确保在组织长入或过度生长之前尽早移除支架。
The usefulness of a covered self-expandable metallic stent for benign esophageal stricture and perforation was well established. In case of benign disease, early stent removal was recommended within 6–8 weeks after placement. A case with severe esophageal stricture caused by incomplete stent removal 7 years after stent placement for spontaneous esophageal rupture was reported. Residual stent fragments could be removed by step-by-step multimodal endoscopic treatment, producing satisfactory luminal diameter of the esophagus. In particular, stent trimming with argon plasma coagulation was safe and effective strategy. The endoscopic stent removal is minimally invasive and should be attempted before surgical intervention; however, it is most important to ensure early stent removal before tissue ingrowth or overgrowth can develop.