Dilatation for Postoperative Stenosis of Free Jejunal Graft after Cervical Esophagectomy Using Original Type Gianturco Self Expandable Metalic Stent ; a Case Report

Abstract

Original type Gianturco self expandable metalic stent (EMS) were placed in a stenotic jejunal graft of a 70-year-old woman who had been operated for cervical esophageal carcinoma 9 months before.
Following endoscopic and fluoroscopic examination, two stents (15×50mm) were placed easily and safely under fluoroscopic control. Three days later, the stenotic jejunal graft was fully dilated and she got to be able to eat soft solids without discomfort. The stents did not migrate.
But 2 weeks later, she felt dysphagia again. Endoscopic and fluoroscopic examination revealed that the stents were being buried into jejunal graft wall with mucosal over-growth. We tried again to dilate with another EMS, but failed. Finally esophageal intubation was required.
We conclude that stenotic lesions of gastrointestinal tract can be dilated with Gianturco self EMS easily and safely with some modifications that prevent restenosis.