EDITOR'S QUIZ: GI SNAPSHOT
EDITOR’S QUIZ: GI SNAPSHOT
| The first 150 words of the full text of this article appear below. |
From question on page 1535
Abdominal x ray showed dilated loops of the small bowel with a metal oesophageal stent in the left iliac fossa. The suspicion of stent ileus was confirmed by computed tomography (fig 2) which showed dilated loops of small bowel proximal to the stent. A minilaparotomy was performed which found the small bowel to be dilated down to the site of impaction of the oesophageal stent in the terminal ileum. Unfortunately, the patient developed pneumonia after operation and died three days later.
Stent migration is a recognised complication of oesophageal stenting, occurring in up to 35% of treated patients. It occurs more frequently if the stent is placed across the gastro-oesophageal junction. Provided the patient is asymptomatic, a "wait and see" approach is often reasonable for those with a migrated stent. Indeed, it is not unusual for the migrated stent to be passed spontaneously in stool.
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Gut 2005 54: 1535.[Extract] [Full Text] [PDF]
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