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