| Autor: |
Luca Giovanni Campana, Rebecca Fish, Owen Thomas Dickinson, Mairéad Geraldine McNamara, Sarah Theresa O'Dwyer, Hans-Ulrich Laasch |
| Jazyk: |
angličtina |
| Rok vydání: |
2022 |
| Předmět: |
|
| Zdroj: |
International Journal of Gastrointestinal Intervention, Vol 11, Iss 2, Pp 89-93 (2022) |
| Druh dokumentu: |
article |
| ISSN: |
2636-0004 |
| DOI: |
10.18528/ijgii210044 |
| Popis: |
Duodenal stenting is an established alternative for the palliation of malignant gastric outlet obstruction (MGOO). Despite being relatively rare, stent migration remains an issue of concern. We present a case of duodenal stent displacement in a 71-year-old female with biliary and duodenal strictures secondary to pancreatic cancer. She presented with acute abdominal pain 10 days following the insertion of a 24-mm partially covered double-layer knitted device, which migrated to the ileocaecal junction. Since the priority was to minimise hospitalisation, we performed a laparotomy with extraction through an enterotomy combined with gastrojejunostomy to bypass the duodenum. The patient resumed oral intake on postoperative day 9 and tolerated a semi-solid diet for 3 months, until death. Despite continuous advances in enteral stent design, patient surveillance remains paramount. This report illustrates the complex decision-making around MGOO, addresses the management of stent migration, and highlights the role of surgery in simultaneously treating stent complications and palliating duodenal obstruction. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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