Endoscopic treatment of complete stripping of esophagus

Abstract Text A 45 years old woman with advanced lower esophageal cancer was treated for palliation with partially fully covered SEMS and radio-chemio therapy. Due to stent ingrowth and complete stent occlusion, 3 months later its removal was needed but, unfortunately, it caused a stripping of esophageal layers. In details, 25 cm of a floppy sleeve of esophageal mucosa and submucosa was pulled out with the SEMS. With two Kocher forceps the “monchon” was grabbed and the scope inserted through it then, a Deviere Overtube was inserted, allowing to push down the “monchon” slowly and gently. A long covered SEMS was left in place between the cervical and lower esophagus with a NFT. Recovery was uneventful, with oral intake resumed 3 days later.

Publication History

Article published online:
14 April 2023