摘要

Esophageal self-expandable metal stent placement is an effective treatment for palliation of malignant dysphagia, which has a low insertion-related complication rate. However, stent-related perforation can be a life-threatening event. We experienced a patient with advanced esophageal cancer who developed an iatrogenic esophageal perforation resulting from incorrect stent insertion. After removal of the original stent, we attempted to perform antegrade insertion of a second covered stent, but failed because we were not able to find the true lumen to the stomach. Due to his poor general condition and the high risk of surgical esophageal repair, we attempted esophageal stent placement using the combined antegrade-retrograde rendezvous technique using the gastrostomy route. By the performance of esophageal stenting using the rendezvous technique, we were able to avoid risky surgical esophageal repair. We expect that the rendezvous technique may be feasible therapy for patients with iatrogenic esophageal perforation when conventional antegrade endoscopic treatment fails.

  • 出版日期2015-1