Fixation of an esophageal stent using a novel re‐openable endoclip for a tracheoesophageal fistula
Abstract Although esophageal stenting is one treatment option as a palliative treatment for tracheoesophageal fistulas, serious complications are associated with stent migration. Some reports have described stent fixation using various devices to prevent stent migration. However, these have yet to b...
Saved in:
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2024-04-01
|
| Series: | DEN Open |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/deo2.342 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849243058849185792 |
|---|---|
| author | Yo Kubota Ryu Nishiyama Masaya Sasaki Yuta Sakabe Kusutaro Doi Hiroyuki Kitagawa Hidehiko Kikuchi Chika Kusano |
| author_facet | Yo Kubota Ryu Nishiyama Masaya Sasaki Yuta Sakabe Kusutaro Doi Hiroyuki Kitagawa Hidehiko Kikuchi Chika Kusano |
| author_sort | Yo Kubota |
| collection | DOAJ |
| description | Abstract Although esophageal stenting is one treatment option as a palliative treatment for tracheoesophageal fistulas, serious complications are associated with stent migration. Some reports have described stent fixation using various devices to prevent stent migration. However, these have yet to be sufficiently examined. We performed esophageal stent fixation using the MANTIS Clip (Boston Scientific), a novel re‐openable endoclip. An 89‐year‐old man developed a tracheoesophageal fistula after radiotherapy for esophageal squamous cell carcinoma. Esophageal stenting was considered because the patient had difficulty with oral intake. However, the patient had a mild stenosis, which suggested stent migration. Therefore, we performed esophageal stent fixation by grasping the mouth side of the stent and the normal mucosa of the esophagus with the MANTIS Clip after placement of the stent. The esophageal stent closed the fistula, and the patient was able to take food orally. Upper gastrointestinal endoscopy performed 3 weeks after stenting showed residual MANTIS Clip and no evidence of stent migration. Esophageal stent fixation with MANTIS clips for tracheoesophageal fistulas may be an option to prevent stent migration. |
| format | Article |
| id | doaj-art-841a182e1011462dbd935bf62b811dfc |
| institution | Kabale University |
| issn | 2692-4609 |
| language | English |
| publishDate | 2024-04-01 |
| publisher | Wiley |
| record_format | Article |
| series | DEN Open |
| spelling | doaj-art-841a182e1011462dbd935bf62b811dfc2025-08-20T03:59:36ZengWileyDEN Open2692-46092024-04-0141n/an/a10.1002/deo2.342Fixation of an esophageal stent using a novel re‐openable endoclip for a tracheoesophageal fistulaYo Kubota0Ryu Nishiyama1Masaya Sasaki2Yuta Sakabe3Kusutaro Doi4Hiroyuki Kitagawa5Hidehiko Kikuchi6Chika Kusano7Department of Gastroenterology Hiratsuka Kyosai Hospital Federation of National Public Service Personnel Mutual Aid Associations Kanagawa JapanDepartment of Gastroenterology Hiratsuka Kyosai Hospital Federation of National Public Service Personnel Mutual Aid Associations Kanagawa JapanDepartment of Gastroenterology Hiratsuka Kyosai Hospital Federation of National Public Service Personnel Mutual Aid Associations Kanagawa JapanDepartment of Gastroenterology Hiratsuka Kyosai Hospital Federation of National Public Service Personnel Mutual Aid Associations Kanagawa JapanDepartment of Gastroenterology Hiratsuka Kyosai Hospital Federation of National Public Service Personnel Mutual Aid Associations Kanagawa JapanDepartment of Gastroenterology Hiratsuka Kyosai Hospital Federation of National Public Service Personnel Mutual Aid Associations Kanagawa JapanDepartment of Gastroenterology Hiratsuka Kyosai Hospital Federation of National Public Service Personnel Mutual Aid Associations Kanagawa JapanDepartment of Gastroenterology Kitasato University School of Medicine Kanagawa JapanAbstract Although esophageal stenting is one treatment option as a palliative treatment for tracheoesophageal fistulas, serious complications are associated with stent migration. Some reports have described stent fixation using various devices to prevent stent migration. However, these have yet to be sufficiently examined. We performed esophageal stent fixation using the MANTIS Clip (Boston Scientific), a novel re‐openable endoclip. An 89‐year‐old man developed a tracheoesophageal fistula after radiotherapy for esophageal squamous cell carcinoma. Esophageal stenting was considered because the patient had difficulty with oral intake. However, the patient had a mild stenosis, which suggested stent migration. Therefore, we performed esophageal stent fixation by grasping the mouth side of the stent and the normal mucosa of the esophagus with the MANTIS Clip after placement of the stent. The esophageal stent closed the fistula, and the patient was able to take food orally. Upper gastrointestinal endoscopy performed 3 weeks after stenting showed residual MANTIS Clip and no evidence of stent migration. Esophageal stent fixation with MANTIS clips for tracheoesophageal fistulas may be an option to prevent stent migration.https://doi.org/10.1002/deo2.342endoclipesophageal squamous cell carcinomaesophageal stentfixationtracheoesophageal fistula |
| spellingShingle | Yo Kubota Ryu Nishiyama Masaya Sasaki Yuta Sakabe Kusutaro Doi Hiroyuki Kitagawa Hidehiko Kikuchi Chika Kusano Fixation of an esophageal stent using a novel re‐openable endoclip for a tracheoesophageal fistula DEN Open endoclip esophageal squamous cell carcinoma esophageal stent fixation tracheoesophageal fistula |
| title | Fixation of an esophageal stent using a novel re‐openable endoclip for a tracheoesophageal fistula |
| title_full | Fixation of an esophageal stent using a novel re‐openable endoclip for a tracheoesophageal fistula |
| title_fullStr | Fixation of an esophageal stent using a novel re‐openable endoclip for a tracheoesophageal fistula |
| title_full_unstemmed | Fixation of an esophageal stent using a novel re‐openable endoclip for a tracheoesophageal fistula |
| title_short | Fixation of an esophageal stent using a novel re‐openable endoclip for a tracheoesophageal fistula |
| title_sort | fixation of an esophageal stent using a novel re openable endoclip for a tracheoesophageal fistula |
| topic | endoclip esophageal squamous cell carcinoma esophageal stent fixation tracheoesophageal fistula |
| url | https://doi.org/10.1002/deo2.342 |
| work_keys_str_mv | AT yokubota fixationofanesophagealstentusinganovelreopenableendoclipforatracheoesophagealfistula AT ryunishiyama fixationofanesophagealstentusinganovelreopenableendoclipforatracheoesophagealfistula AT masayasasaki fixationofanesophagealstentusinganovelreopenableendoclipforatracheoesophagealfistula AT yutasakabe fixationofanesophagealstentusinganovelreopenableendoclipforatracheoesophagealfistula AT kusutarodoi fixationofanesophagealstentusinganovelreopenableendoclipforatracheoesophagealfistula AT hiroyukikitagawa fixationofanesophagealstentusinganovelreopenableendoclipforatracheoesophagealfistula AT hidehikokikuchi fixationofanesophagealstentusinganovelreopenableendoclipforatracheoesophagealfistula AT chikakusano fixationofanesophagealstentusinganovelreopenableendoclipforatracheoesophagealfistula |