ENDOSCOPIC REMOVAL OF A NISSEN SURGICAL MESH AFTER ESOPHAGEAL TRANSMURAL MIGRATION INDUCED BY STENT PLACEMENT

A 89-year-old woman presented a gastroesophageal stricture after fundoplication with a polytetrafluoroethylene mesh. After dilations, endoscopy revealed a mucosal discontinuity upstream stenosis, with the mesh being apparent. A 80 × 20 mm FC-SEMS was placed. After removal, mesh was still embedded. At this time, a fully covered 40x26/16/26 mm diabolo-shape stent was placed without removal intention. Two years later, diablo-stent was noted to have migrated proximally, with a mobile second foreign body (surgical mesh). The mesh was removed after overtube assistance. After removal, a long deep tear with extraluminal air was found. EVT was performed with clinical resolution. Patient was discharged eating normally.