Repeated enteral stent fracture in patient with benign duodenal stricture

Stern, Nick; Smart, Howard

doi:10.1016/j.gie.2009.12.017

Cited by 6 publications

(2 citation statements)

References 12 publications

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“…Other minor complications, such as fever (1.4%) ( 1 ), abdominal pain (0.2-1.2%) ( 1 , 2 ), and bleeding (0.4-5.0%) ( 2 , 5 ), have also been reported. Several reports have shown stent fractures of biliary ( 6 , 7 ), esophageal ( 8 ), and duodenal stents ( 9 , 10 ). On the other hand, the details of fractures of colorectal stents have not yet been reported in the literature; the present case is the first such report and suggests a clinical approach to the long-term management of colorectal SEMSs.…”

Section: Discussionmentioning

confidence: 99%

“…SEMSs are subject to stronger shearing forces in the flexure because of peristalsis and respiratory movement, and metal fatigue due to prolonged frictional forces could be a factor in such stent fracturing. Fractures of metallic stents have previously been described with biliary ( 6 , 7 ), esophageal ( 8 ) and gastroduodenal stents ( 9 , 10 ). In the biliary and esophageal cases, thermal straining such as radiation therapy or electromechanical effort could have result in stent fracture.…”

Section: Discussionmentioning

confidence: 99%

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Fracture of a Colonic Self-expandable Metallic Stent in Malignant Colonic Obstruction

et al. 2018

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Self-expandable metallic stents (SEMSs) are used for the management of malignant colorectal obstruction. A patient who underwent colonic uncovered SEMS insertion for extraluminal stenosis in the splenic flexure of the transverse colon due to advanced gastric cancer is herein reported. The patient presented with a fracture of the colonic SEMS 494 days after SEMS insertion. Although various complications of stenting have previously been reported, the details of fractures of colonic SEMSs have not yet been reported. Because the improvement in the prognosis for patients who undergo palliative SEMS insertion leads to long-term SEMS placement, diverse complications can thus be expected, and new events like stent fracture are expected to increase in the future.

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