Year 2025 / Volume 117 / Number 8
Letter
Esophageal stent dysfunction: unclogging the Red Sea

475-476

DOI: 10.17235/reed.2024.10554/2024

Raquel R. Mendes, Pedro C. Figueiredo,

Abstract
Self-expandable metal stents (SEMS) have been widely used for the palliation of esophageal malignant dysphagia. Stent-related dysphagia is frequent and should raise the suspicion of stent migration, tumor ingrowth or overgrowth. In addition, bleeding has been reported in nearly 7% of patients. Nonetheless, this is the first case report of a complete stent obstruction by abundant blood clot formation. The authors present a 76-year-old male with severe ischemic heart disease and atrial fibrillation, requiring cardiac resynchronization therapy defibrillator and anticoagulation. After being diagnosed with metastasized squamous cell mid-esophageal cancer, he was proposed for chemotherapy and palliative esophageal stenting.
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References
[1] Rodrigues-Pinto, E., Pereira, P., Baron, T. H., & Macedo, G. (2018). Self-expandable metal stents are a valid option in long-term survivors of advanced esophageal cancer. Revista Española de Enfermedades Digestivas, 110(8), 500-504.
[2] Spaander, M. C., van der Bogt, R. D., Baron, T. H., Albers, D., Blero, D., de Ceglie, A., et al. (2021). Esophageal stenting for benign and malignant disease: European Society of Gastrointestinal Endoscopy (ESGE) Guideline–Update 2021. Endoscopy, 53(07), 751-762.
[3] Kumar, S., Bahdi, F., Emelogu, I. K., Yu, A. C., Coronel, M., Ge, P. S., et al. (2022). How much progress have we made?: a 20-year experience regarding esophageal stents for the palliation of malignant dysphagia. Diseases of the Esophagus, 35(6), doab085.
[4] Reijm, A. N., Didden, P., Schelling, S. J., Siersema, P. D., Bruno, M. J., & Spaander, M. C. (2019). Self-expandable metal stent placement for malignant esophageal strictures–changes in clinical outcomes over time. Endoscopy, 51(01), 18-29.
[5] Veitch, A. M., Radaelli, F., Alikhan, R., Dumonceau, J. M., Eaton, D., Jerrome, J., et al. (2021). Endoscopy in patients on antiplatelet or anticoagulant therapy: British Society of Gastroenterology (BSG) and European Society of Gastrointestinal Endoscopy (ESGE) guideline update. Endoscopy, 53(09), 947-969.
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Mendes R, Figueiredo P. Esophageal stent dysfunction: unclogging the Red Sea. 10554/2024


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Publication history

Received: 20/05/2024

Accepted: 23/05/2024

Online First: 04/06/2024

Published: 24/07/2025

Article Online First time: 15 days

Article editing time: 430 days


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