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(B, C) Endoscopic image showing the esophageal SEMS and the steel retrieval wire penetrating the esophageal wall transmurally before its removal. (D) SEMS image after removal, verifying that the steel retrieval wire was deformed. (E) Endoscopic view of the esophageal mucosa after removal of the SEMS, where healing of the anastomotic dehiscence was observed, so a new SEMS was not placed. SEMS: self-expandable metal stent.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 40-years-old male with an anastomotic leak following esophagectomy for epidermoid cancer was treated endoscopically with a fully covered esophageal self-expandable metal stent (SEMS) (SX-ELLA Stent Esophageal HV 20<span class="elsevierStyleHsp" style=""></span>mm<span class="elsevierStyleHsp" style=""></span>×<span class="elsevierStyleHsp" style=""></span>110<span class="elsevierStyleHsp" style=""></span>mm). The stent migrated distally and, although technically it was difficult, it was repositioned with a rat tooth retrieval forceps and fixed to the esophageal wall using a hemostatic clip of 11<span class="elsevierStyleHsp" style=""></span>mm (Resolution Clip 360™ – Boston Scientific, USA).</p><p id="par0010" class="elsevierStylePara elsevierViewall">At 4 weeks of follow-up, an esophagram indicated that the leak had not completely healed, so the stent was maintained. The patient did not attend a scheduled esophagram at 6 weeks. The week after, he was admitted due to fever, cervical pain and erythema. A CT scan revealed an esophageal-subcutaneous fistula. The internal fistula orifice was originated at the upper SEMS end (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A). The endoscopy showed that the steel retrieval wire of the SEMS was penetrating the esophageal wall. So, the SEMS was removed, and healing of the anastomotic leak was confirmed (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>B–E). The patient was discharged 3 days after and completed antibiotic therapy for 10 days.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">Temporary esophageal SEMS placement is an effective alternative in the management of anastomotic leaks.<a class="elsevierStyleCrossRefs" href="#bib0025"><span class="elsevierStyleSup">1,2</span></a> Some SEMSs have a steel retrieval wire that facilitates removal.<a class="elsevierStyleCrossRefs" href="#bib0035"><span class="elsevierStyleSup">3,4</span></a> In our case, when the stent was repositioned, the steel retrieval wire was deformed and contacted perpendicular with the esophageal wall, penetrating it until generating a fistula.</p><p id="par0020" class="elsevierStylePara elsevierViewall">As conclusion, traumatic esophageal fistula is a potential adverse event when repositioning a metallic esophageal stent and therefore, care should be taken in its handling when it needs to be repositioned.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Funding</span><p id="par0025" class="elsevierStylePara elsevierViewall">None.</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Conflict of interest</span><p id="par0030" class="elsevierStylePara elsevierViewall">Authors declare no conflict of interests for this article.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:3 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Funding" ] 1 => array:2 [ "identificador" => "sec0010" "titulo" => "Conflict of interest" ] 2 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:1 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 2985 "Ancho" => 2508 "Tamanyo" => 668859 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Cervical CT image showing the esophageal fistula penetrating the subcutaneous cellular tissue (red arrow) secondary to the steel retrieval wire of the SEMS (yellow arrow). (B, C) Endoscopic image showing the esophageal SEMS and the steel retrieval wire penetrating the esophageal wall transmurally before its removal. (D) SEMS image after removal, verifying that the steel retrieval wire was deformed. (E) Endoscopic view of the esophageal mucosa after removal of the SEMS, where healing of the anastomotic dehiscence was observed, so a new SEMS was not placed. SEMS: self-expandable metal stent.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0015" "bibliografiaReferencia" => array:4 [ 0 => array:3 [ "identificador" => "bib0025" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Esophageal stenting for benign and malignant disease: European Society of Gastrointestinal Endoscopy (ESGE) Guideline – update 2021" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "M.C.W. Spaander" 1 => "R.D. van der Bogt" 2 => "T.H. Baron" 3 => "D. Albers" 4 => "D. Blero" 5 => "A. de Ceglie" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1055/a-1475-0063" "Revista" => array:6 [ "tituloSerie" => "Endoscopy" "fecha" => "2021" "volumen" => "53" "paginaInicial" => "751" "paginaFinal" => "762" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/33930932" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0030" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Endoscopic treatment of postoperative esophagogastric leaks with fully covered self-expanding metal stents" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "E. Iglesias Jorquera" 1 => "J. Egea Valenzuela" 2 => "A. Serrano Jiménez" 3 => "G. Carrilero Zaragoza" 4 => "A. Ortega Sabater" 5 => "E. 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Siersema" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1007/s11938-018-0181-3" "Revista" => array:6 [ "tituloSerie" => "Curr Treat Options Gastroenterol" "fecha" => "2018" "volumen" => "16" "paginaInicial" => "260" "paginaFinal" => "273" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/29557070" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0040" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Oesophageal stenting: status quo and future challenges" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "H. Kaltsidis" 1 => "W. Mansoor" 2 => "J.H. Park" 3 => "H.Y. Song" 4 => "D.W. Edwards" 5 => "H.U. Laasch" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1259/bjr.20170935" "Revista" => array:5 [ "tituloSerie" => "Br J Radiol" "fecha" => "2018" "volumen" => "91" "paginaInicial" => "20170935" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/29888981" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/02105705/0000004700000002/v3_202402160634/S0210570523000390/v3_202402160634/en/main.assets" "Apartado" => array:4 [ "identificador" => "75365" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Imágenes del mes" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/02105705/0000004700000002/v3_202402160634/S0210570523000390/v3_202402160634/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210570523000390?idApp=UINPBA00004N" ]
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Image of the month
Traumatic esophageal fistula secondary to self-expandable metal stent placement
Fístula esofágica traumática secundaria a la colocación de una prótesis metálica autoexpandible
Carlos Chavarría
, Luis Wong-Becerra, Daniel Riado-Mínguez, Carlos Castaño-Milla
Autor para correspondencia
Gastroenterology Department, Hospital Universitario Rey Juan Carlos, Madrid, Spain