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Percutaneous Removal of Migrated Gastrointestinal Stents Using Gastrostomy Access
Journal of Vascular and Interventional Radiology ( IF 2.9 ) Pub Date : 2024-03-05 , DOI: 10.1016/j.jvir.2024.02.022
Jorge E. Lopera

This report describes the experience of removing migrated gastrointestinal (GI) stents using a gastrostomy (G) access. Four male patients aged 23–62 years (mean, 42 years) had 6 migrated stents removed using an existing (n = 3) or new (n = 1) G access. Removed stents included 5 covered esophageal stents that migrated into the stomach and 1 distal noncovered duodenal stent that migrated into the proximal duodenum. One patient had 2 stents removed during the same session. All stents were removed successfully without complications. Techniques used included the folding technique using a wire in 3 stents and forceps in 2 stents. Eversion technique was used in the duodenal stent. The G or gastrojejunostomy tubes were replaced after stent removal and used for enteral feedings. In conclusion, removing migrated GI stents using an existing or new G access is technically successful and safe.

中文翻译:

使用胃造口术经皮移除迁移的胃肠支架

本报告描述了使用胃造口术 (G) 通道移除迁移的胃肠道 (GI) 支架的经验。 4 名年龄 23-62 岁(平均 42 岁)的男性患者使用现有 (n = 3) 或新 (n = 1) G 通路移除了 6 个移位支架。移除的支架包括 5 个迁移到胃中的带覆盖食管支架和 1 个迁移到近端十二指肠的远端非覆盖十二指肠支架。一名患者在同一疗程中取出了 2 个支架。所有支架均成功取出,无并发症。使用的技术包括使用 3 个支架中的线和 2 个支架中的镊子的折叠技术。十二指肠支架采用外翻技术。支架移除后更换 G 或胃空肠造口管并用于肠内喂养。总之,使用现有或新的 G 通道移除迁移的 GI 支架在技术上是成功且安全的。
更新日期:2024-03-05
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