ENDOSCOPIC ESOPHAGEAL STENTING WITH OVER-THE-SCOPE CLIP FIXATION

Abstract

Malignant esophageal stricture is associated with esophageal passage obstruction and dysphagia, which affect patient nutritional status, quality of life, and prognosis. Endoscopic esophageal stenting is an option for such patients when resection is impossible. If stenting improves nutritional status, chemotherapy can be administered, prolonging life expectancy. However, in patients with mild stenosis or esophagogastric junction lesions, stents may migrate into the stomach. This paper describes the procedure and tips for endoscopic esophageal stenting, which uses an over-the-scope clip with strong tissue-grasping force to secure the stent to the esophageal wall and prevent stent migration.