Modified technique to extract malpositioned or migrated self-expanding stents from the esophagus and stomach

Juan Carlos Munoz, Joe E. Khoury, Mary Alizadeh, Sunitha Pudhota, Aja Smith-Mccutchen, Ana M. Corregidor, Louis Lambiase, Kenneth J. Vega

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Background and Aim: Various methods have been used to remove self expandable stents (SES) because of either malposition or migration. The main difficulties encountered in such situations are the anatomic obstacle of the lower and upper esophageal sphincters as well as risk of mucosal injury during removal. Methods: We describe a modified approach using an esophagogastroduodenoscope (EGD) in combination with a foreign body hood protector, rat tooth forceps and snare allowing for successful SES removal from the upper gastrointestinal tract in four cases. Results: In all cases, the SES were successfully removed from upper gastrointestinal tract using this technique. No complications were noted after extraction. Conclusion: The foreign body hood protector combined with rat tooth forceps/snare technique is a safe and effective alternative to previously described methods for extraction of SES from the upper gastrointestinal tract. This method may be applicable for the removal of other such objects within the endoscope's reach.

Original languageEnglish (US)
Pages (from-to)547-551
Number of pages5
JournalJournal of Gastroenterology and Hepatology (Australia)
Volume24
Issue number4
DOIs
StatePublished - Jan 1 2009
Externally publishedYes

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Esophagus
Upper Gastrointestinal Tract
Stents
Stomach
Foreign Bodies
Surgical Instruments
Tooth
Upper Esophageal Sphincter
Lower Esophageal Sphincter
Endoscopes
Wounds and Injuries

All Science Journal Classification (ASJC) codes

  • Hepatology
  • Gastroenterology

Cite this

Munoz, J. C., Khoury, J. E., Alizadeh, M., Pudhota, S., Smith-Mccutchen, A., Corregidor, A. M., ... Vega, K. J. (2009). Modified technique to extract malpositioned or migrated self-expanding stents from the esophagus and stomach. Journal of Gastroenterology and Hepatology (Australia), 24(4), 547-551. https://doi.org/10.1111/j.1440-1746.2008.05716.x

Modified technique to extract malpositioned or migrated self-expanding stents from the esophagus and stomach. / Munoz, Juan Carlos; Khoury, Joe E.; Alizadeh, Mary; Pudhota, Sunitha; Smith-Mccutchen, Aja; Corregidor, Ana M.; Lambiase, Louis; Vega, Kenneth J.

In: Journal of Gastroenterology and Hepatology (Australia), Vol. 24, No. 4, 01.01.2009, p. 547-551.

Research output: Contribution to journalArticle

Munoz, Juan Carlos ; Khoury, Joe E. ; Alizadeh, Mary ; Pudhota, Sunitha ; Smith-Mccutchen, Aja ; Corregidor, Ana M. ; Lambiase, Louis ; Vega, Kenneth J. / Modified technique to extract malpositioned or migrated self-expanding stents from the esophagus and stomach. In: Journal of Gastroenterology and Hepatology (Australia). 2009 ; Vol. 24, No. 4. pp. 547-551.
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