Endoscopy 2000; 32(7): 542-545
DOI: 10.1055/s-2000-3813
Case Report
Georg Thieme Verlag Stuttgart ·New York

Use of Esophagectomy to Treat Recurrent Hyperplastic Tissue Obstruction Caused by Multiple Metallic Stent Insertion for Corrosive Stricture

J.-S. Chen 1 , S.-P. Luh 1 , F. Lee 2 , C.-I. Tsai 3 , J.-M. Lee 1 , Y.-C. Lee 1
  • 1 Dept. of Surgery, National Taiwan University Hospital, Taipei, Taiwan
  • 2 Dept. of Pathology, National Taiwan University Hospital, Taipei, Taiwan
  • 3 Dept. of Internal Medicine, Poh-Ai Hospital, Ilan, Taiwan
Further Information

Publication History

Publication Date:
31 December 2000 (online)

We report a case of a 75-year-old woman who received repeated metallic stent insertion for corrosive esophageal injury. She underwent esophagectomy and gastric tube reconstruction about 3 years after injury because both stents were occluded in turn by overgrowth of granulation tissue. The gross and microscopic changes of the esophagus secondary to prolonged stent insertion are described. In the literature, no reports of similar cases have been recorded. Our limited experience revealed that using metallic stents to treat benign esophageal stricture should be handled very cautiously because of the complications which can commonly occur and are difficult to manage. Repeated stent insertion, although effective for temporarily relieving dysphagia, is ineffective in the long run and can create complications. We suggest that the feasibility of esophagectomy should be evaluated after the improvement of the general condition of the patient.

References

Y.-C. Lee, M.D.

Dept. of Surgery National Taiwan University Hospital

7 Chung-Shan S Road Taipei Taiwan

Fax: Fax:+ 886-2-23930877

Email: E-mail:wuj@ha.mc.ntu.edu.tw

    >