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- Title
Successful closure of a complicated duodenal ulcer perforation with an expandable esophageal stent.
- Authors
Stavrou, George; Rafailidis, Vasileios; Diamantidou, Anna; Kouskouras, Constantinos; Michalopoulos, Antonios; Kotzampassi, Katerina
- Abstract
Laparotomy and reoperation remain the standard procedures for patients with suture line disruption after the initial surgical treatment for duodenal ulcer perforation has failed. Recently, endoscopic stents have been employed for dehiscence of the suture line after a surgical repair or even as a primary treatment. We present such a case, the fourth in the literature. In this case, a partially covered stent was placed to cover the duodenal perforation opening after an unsuccessful stitching 6 days earlier. We discuss the difficulties in stent positioning, the choice of sealant, and possible complications. Overall, for older patients with comorbidities, endoscopic stent placement could be considered a promising alternative minimally invasive treatment.
- Subjects
DUODENAL ulcers; THERAPEUTICS; REOPERATION; OLDER patients; ABDOMINAL surgery; SUTURING
- Publication
Asian Journal of Endoscopic Surgery, 2019, Vol 12, Issue 3, p326
- ISSN
1758-5902
- Publication type
Article
- DOI
10.1111/ases.12642