ASGE DDW Videos from Around the World | 2024-OVERGROWN CHALLENGES: COMPLEX REMOVAL OF EMBEDDED PARTIALLY COVERED SELF-EXPANDING METAL STENT FROM THE ESOPHAGUS

OVERGROWN CHALLENGES: COMPLEX REMOVAL OF EMBEDDED PARTIALLY COVERED SELF-EXPANDING METAL STENT FROM THE ESOPHAGUS

Video Transcription

Video Summary

The video discusses the complex removal of a partially covered self-expanding metal stent from the esophagus after being left in place for two years. The removal process involved the use of APC, cap scraping, and a newly invented method called the tornado twist method. The case involved a 61-year-old man with a tracheoesophageal fistula caused by a stroke. The removal process was challenging and required multiple attempts with careful ablation and tissue removal methods. The importance of proper stent selection and a stepwise approach to managing tissue ingrowth were highlighted. Maintaining thermal energy was emphasized to prevent potential complications during stent removal.

Asset Subtitle

Mary-Jane Williams

Keywords

self-expanding metal stent

esophagus

APC

tornado twist method

tracheoesophageal fistula