Abstract
Esophageal self-expandable metal stent placement is an effective treatment for palliation of malignant dysphagia, which has a low insertion-related complication rate. However, stent-related perforation can be a life-threatening event. We experienced a patient with advanced esophageal cancer who developed an iatrogenic esophageal perforation resulting from incorrect stent insertion. After removal of the original stent, we attempted to perform antegrade insertion of a second covered stent, but failed because we were not able to find the true lumen to the stomach. Due to his poor general condition and the high risk of surgical esophageal repair, we attempted esophageal stent placement using the combined antegrade–retrograde rendezvous technique using the gastrostomy route. By the performance of esophageal stenting using the rendezvous technique, we were able to avoid risky surgical esophageal repair. We expect that the rendezvous technique may be feasible therapy for patients with iatrogenic esophageal perforation when conventional antegrade endoscopic treatment fails.
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This study was supported by an Inha University Research Grant.
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This case report does not involve any studies performed with human or animal subjects by any authors.
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Park, JS., Bang, B.W., Kim, H.K. et al. A case of an iatrogenic esophageal perforation salvaged by anterograde–retrograde rendezvous approach and stenting. Esophagus 12, 86–90 (2015). https://doi.org/10.1007/s10388-013-0410-8
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DOI: https://doi.org/10.1007/s10388-013-0410-8