ASGE Postgraduate Course at ACG 2022: Expanding the Scope of Fundamental and Advanced Endoscopy (On-Demand) | October 2022-Case: Resection of Ampullary/Duodenal Polyps

Case: Resection of Ampullary/Duodenal Polyps

Video Transcription

Video Summary

In this video, Rabia Latorre, the Director of Endoscopy at Bellevue at NYU Grossman School of Medicine, presents a case of a 50-year-old female with a malignant stricture in her esophagus. The patient had undergone chemotherapy which reduced the tumor size, but the previously placed stent had migrated into the stomach. Attempts to remove the stent were unsuccessful due to its brittleness, but a new stent was placed as a conduit for removing the old one. The new stent also helped dilate a fibrotic stricture. Stent migration is a known risk, and securing methods such as suturing or clipping may be used. In some cases, leaving the stent in place is an option for patients who are not surgical candidates with a short life expectancy.

Asset Subtitle

Mohammad Bilal, MD

Keywords

malignant stricture

stent migration

fibrotic stricture

chemotherapy

endoscopy