GI Endoscopy · 1 min read
Use of Cap-Assisted Endoscopy, Overtube and Dilation Balloon to Remove Migrated Esophageal SEMS
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COURSE VIDEO
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Summary:
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Summary:
- 55 year-old patient with a tight esophageal structure had placement of two fully covered metal stents, both of which had migrated distally
- Endoscopic examination revealed one stent had migrated proximally and the other was in the stomach
- Rat tooth forceps were used to remove the first stent without problems
- A second dilation was performed with a balloon and the stent was pulled into an over tube at the level of the stricture with a cap, preventing any lacerations or perforations
- Esophagogram was performed to check the integrity of the dilating side
- Triple combination of through the scopaline, transparent cap and over tube was used to remove the stent safely
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