| 위공장문합부 협착에 유치된 자가 팽창형 금속 스텐트의 식도 일탈 |
| 김영균·정준표·조승현·황성준·이덕용·지상원·백용한·이세준·문병수·이관식·이상인·강진경 |
| 연세대학교 의과대학 내과학교실 |
| Migration of Pyloric Self-Expanding Metallic Stent to the Esophagus |
| Young Gyun Kim, M.D., Jun Pyo Chung, M.D., Seung Hyun Cho, M.D., Seoung Joon Hwang, M.D., Dok Yong Lee, M.D., Sang Won Ji, M.D., Yong-Han Paik, M.D., Se Joon Lee, M.D., Byung Soo Moon, M.D., Kwan Sik Lee, M.D., Sang In Lee, M.D. and Jin Kyung Kang, M.D. |
| Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea |
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| Abstract |
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Self-expandable metallic stent (SEMS) has been reported to provide effective treatment alternatives with minimal morbidity for patients with malignant gastroduodenal obstruction. Limitations of SEMSs are stent occlusion due to tumor ingrowth or overgrowth and stent migration. Migrated stents may remain in the stomach or travel distally. To our knowledge, however, migration of pyloric SEMS to the esophagus has not been reported. We experienced such a case in a 65-year-old woman who had undergone a gastrojejunostomy and choledochojejunostomy due to unresectable pancreatic head cancer. Pyloric SEMSs (Niti-S Pyloric Bare Stent, 18⁓60 mm, Taewoong Medical, Korea) were deployed at the obstructed efferent and afferent loops. After severe vomiting, a pyloric SEMS placed at the afferent loop migrated into the esophagus, which caused severe chest pain and intractable hiccup. It was removed endoscopically. This case illustrates that pyloric SEMS can migrate to the esophagus through the lower esophageal sphincter. (Korean J Gastrointest Endosc 2003;27:8083) |
| Key Words:
Gastric outlet obstruction, Self-expandable metallic stent (SEMS), Pancreatic cancer, Esophageal migration |
| 주요어:
위출구 폐쇄, 췌장암, 자가 팽창형 금속 스텐트, 식도 일탈 |
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