Successful closure of a complicated duodenal ulcer perforation with an expandable esophageal stent.
Τίτλος | Successful closure of a complicated duodenal ulcer perforation with an expandable esophageal stent. |
Publication Type | Journal Article |
Year of Publication | 2018 |
Authors | Stavrou, G., Rafailidis V., Diamantidou A., Kouskouras C., Michalopoulos A., & Kotzampassi K. |
Journal | Asian J Endosc Surg |
Date Published | 2018 Aug 23 |
ISSN | 1758-5910 |
Abstract | Laparotomy and reoperation remain the standard procedures for patients with suture line disruption after the initial surgical treatment for duodenal ulcer perforation has failed. Recently, endoscopic stents have been employed for dehiscence of the suture line after a surgical repair or even as a primary treatment. We present such a case, the fourth in the literature. In this case, a partially covered stent was placed to cover the duodenal perforation opening after an unsuccessful stitching 6 days earlier. We discuss the difficulties in stent positioning, the choice of sealant, and possible complications. Overall, for older patients with comorbidities, endoscopic stent placement could be considered a promising alternative minimally invasive treatment. |
DOI | 10.1111/ases.12642 |
Alternate Journal | Asian J Endosc Surg |
PubMed ID | 30141274 |