Healing Occurs in Most Patients That Receive Endoscopic Stents for Anastomotic Leakage; Dislocation Remains a Problem  Marcus Feith, Sonja Gillen, Tibor.

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Presentation transcript:

Healing Occurs in Most Patients That Receive Endoscopic Stents for Anastomotic Leakage; Dislocation Remains a Problem  Marcus Feith, Sonja Gillen, Tibor Schuster, Jörg Theisen, Helmut Friess, Ralf Gertler  Clinical Gastroenterology and Hepatology  Volume 9, Issue 3, Pages 202-210 (March 2011) DOI: 10.1016/j.cgh.2010.12.010 Copyright © 2011 AGA Institute Terms and Conditions

Figure 1 Diagnostic and therapeutic management of esophageal anastomotic leakage. Clinical Gastroenterology and Hepatology 2011 9, 202-210DOI: (10.1016/j.cgh.2010.12.010) Copyright © 2011 AGA Institute Terms and Conditions

Figure 2 (A) Example of a used, fully covered Choo stent. (B) Example of a fully covered Niti-S Stent. Clinical Gastroenterology and Hepatology 2011 9, 202-210DOI: (10.1016/j.cgh.2010.12.010) Copyright © 2011 AGA Institute Terms and Conditions

Figure 3 (A) Endoscopic view of anastomotic leakage in an esophagojejunostomy. (B) Coverage of the anastomotic leakage with a covered self-expanding metal stent. (C) Contrast swallow of anastomotic leakage of an esophagojejunostomy. (D) Contrast swallow after stent placement of the anastomotic leakage and drainage with a chest tube. Clinical Gastroenterology and Hepatology 2011 9, 202-210DOI: (10.1016/j.cgh.2010.12.010) Copyright © 2011 AGA Institute Terms and Conditions

Figure 4 Abdominal radiograph showing a dislocated stent stuck at the Roux-en-Y anastomosis in a patient after gastrectomy. Clinical Gastroenterology and Hepatology 2011 9, 202-210DOI: (10.1016/j.cgh.2010.12.010) Copyright © 2011 AGA Institute Terms and Conditions

Figure 5 Resection specimen of a dislocated stent that got stuck and caused intestinal perforation at the ileocecal valve. Clinical Gastroenterology and Hepatology 2011 9, 202-210DOI: (10.1016/j.cgh.2010.12.010) Copyright © 2011 AGA Institute Terms and Conditions