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CC BY-NC-ND 4.0 · Journal of Digestive Endoscopy 2021; 12(03): 177-178
DOI: 10.1055/s-0040-1721222
Case Report

A Novel Method to Prevent Migration of Gastric Stent

Vikas Singla
1   Institute of Liver, Gastroenterology and Pancreaticobiliary Sciences, Sir Ganga Ram Hospital, New Delhi, India
,
Shivam Khare
1   Institute of Liver, Gastroenterology and Pancreaticobiliary Sciences, Sir Ganga Ram Hospital, New Delhi, India
,
Anil Arora
1   Institute of Liver, Gastroenterology and Pancreaticobiliary Sciences, Sir Ganga Ram Hospital, New Delhi, India
,
Shrihari Anil Anikhindi
1   Institute of Liver, Gastroenterology and Pancreaticobiliary Sciences, Sir Ganga Ram Hospital, New Delhi, India
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Abstract

Self expandable metal stent (SEMS) are widely used in patients with gastric outlet obstruction. Stent migration can occur in these patients, and is an important issue, which needs to be addressed. We used a novel technique for prevention of migration of gastric stent in an 80 year old female. Patient presented with recurrent vomiting due to gastric outlet obstruction by a growth in the antrum. SEMS was placed for palliation of symptoms. A nylon thread multiloop and through the scope clips were used to fix the SEMS with the gastric wall. The technique was used successfully to prevent the migration of SEMS.

Keywords

gastric outlet obstruction - migration - self-expandable metal stent


Publication History

Article published online:
28 December 2020

© 2021. Society of Gastrointestinal Endoscopy of India. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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  • References

  • 1 Jeurnink SM, van Eijck CH, Steyerberg EW, Kuipers EJ, Siersema PD. Stent versus gastrojejunostomy for the palliation of gastric outlet obstruction: a systematic review. BMC Gastroenterol 2007; 7: 18
    CrossrefPubMedGoogle Scholar
  • 2 Suzuki Y, Tanuma T, Nojima M. et al Multiloop as a novel traction method in accelerating colorectal endoscopic submucosal dissection. Gastrointest Endosc 2020; 91 (01) 185-190
    CrossrefPubMedGoogle Scholar
  • 3 Lee SM, Kang DH, Kim GH, Park WI, Kim HW, Park JH. Self-expanding metallic stents for gastric outlet obstruction resulting from stomach cancer: a preliminary study with a newly designed double-layered pyloric stent. Gastrointest Endosc 2007; 66 (06) 1206-1210
    CrossrefPubMedGoogle Scholar
  • 4 Shi D, Bao YS, Liu YP. Individualization of metal stents for management of gastric outlet obstruction caused by distal stomach cancer: a prospective study. Gastrointest Endosc 2013; 78 (02) 277-284
    CrossrefPubMedGoogle Scholar
  • 5 Kim ID, Kang DH, Choi CW. et al Prevention of covered enteral stent migration in patients with malignant gastric outlet obstruction: a pilot study of anchoring with endoscopic clips. Scand J Gastroenterol 2010; 45 (01) 100-105
    CrossrefPubMedGoogle Scholar