Clinical Endoscopy

Case Report

Gastric cancer presenting with ramucirumab-related gastrocolic fistula successfully managed by colonic stenting: a case report: Hiroki Fukuya, Yoichiro Iboshi, Masafumi Wada, Yorinobu Sumida, Naohiko Harada, Makoto Nakamuta, Hiroyuki Fujii, Eikichi Ihara; Clin Endosc 2023;56(6):812-816. Published online May 11, 2023; DOI: https://doi.org/10.5946/ce.2022.117

We report a rare case of gastric cancer presenting with a gastrocolic fistula during ramucirumab and paclitaxel combination therapy that was successfully managed with colonic stenting. A 75-year-old man was admitted to our hospital with the chief complaint of melena. Esophagogastroduodenoscopy revealed a large ulcerated tumor in the lower stomach, judged by laparoscopy as unresectable (sT4bN1M0). After four cycles of first-line chemotherapy with S-1 plus oxaliplatin, the patient showed disease progression, and second-line therapy with ramucirumab and paclitaxel was started. At the end of the third cycle, the patient had gastric antral stenosis, which necessitated the placement of a gastroduodenal stent. When the patient complained of diarrhea 10 days later, esophagogastroduodenoscopy revealed a fistula between the greater curvature of the stomach and the transverse colon. The fistula was covered by double colonic stenting, with a covered metal stent placed within an uncovered metal stent, after which leakage from the stomach to the colon stopped.

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Ramucirumab

Reactions Weekly.2024; 1989(1): 189. CrossRef
Metastatic bladder cancer forming a sigmoidorectal fistula after enfortumab vedotin therapy: a case report
Shinji Tamada, Daiki Ikarashi, Naoki Yanagawa, Moe Toyoshima, Kenta Takahashi, Tomohiko Matsuura, Shigekatsu Maekawa, Renpei Kato, Mitsugu Kanehira, Ryo Takata, Wataru Obara
Frontiers in Oncology.2023;[Epub] CrossRef

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Focused Review Series: Endoscopic Management for Biliary Stricture after Liver Transplantation

Management of Post-Transplant Anastomotic Stricture Using Self-Expandable Metal Stent: Dong Wook Lee, Kazuo Hara; Clin Endosc 2020;53(3):261-265. Published online May 29, 2020; DOI: https://doi.org/10.5946/ce.2020.119

Abstract PDF PubReader ePub

Anastomotic stricture (AS) is one of the complications of liver transplantation (LT) and can occur in up to 40% of living-donor LTs. Endoscopic management has become the first-line treatment of AS, and multiple plastic stents insertion has been mainly used in the past. Recently, many treatments utilizing fully covered self-expandable metal stents (cSEMSs) have been attempted, and results showing adequate treatment outcome have been reported. In this review, we look into the treatment performance and cautionary steps needed when using cSEMS as a treatment for AS.

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Management of biliary complications in liver transplant recipients using a fully covered self-expandable metal stent with antimigration features
Andrew CANAKIS, Andrew J. GILMAN, Todd H. BARON
Minerva Gastroenterology.2024;[Epub] CrossRef
Endoscopic Management of Biliary Strictures after Orthotopic Liver Transplantation: A Single Center Experience Study
Vasile Sandru, Madalina Stan-Ilie, Oana-Mihaela Plotogea, Catalina Vladut, Bogdan Silviu Ungureanu, Gheorghe G. Balan, Dan Ionut Gheonea, Gabriel Constantinescu
Diagnostics.2022; 12(5): 1221. CrossRef
Efficacy of a modified short fully covered self‐expandable metal stent for perihilar benign biliary strictures
Tae Hoon Lee, Jong Ho Moon, Yun Nah Lee, Seok Jung Jo, Jae Keun Park, Jae Kook Yang, Sang‐Woo Cha, Young Deok Cho, Sang‐Heum Park
Journal of Gastroenterology and Hepatology.2021; 36(4): 1057. CrossRef

5,830 View
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