Abstract
This report describes a complication that occurred as a result of deploying an Ultraflex
stent too low in relation to a stenosing carcinoma of the gastro-oesophageal junction.
Intermittent kinking of the redundant lower end of the stent caused frequent episodes
of total dysphagia. A percutaneous endoscopic gastrostomy was deployed to anchor the
redundant portion of the stent within the stomach, allowing it to be shortened with
endoscopic stitch cutters. This procedure relieved the episodic dysphagia, and was
well tolerated.
