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Ann Thorac Surg 2006;82:1913-1914
© 2006 The Society of Thoracic Surgeons

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Case Reports

Removal of Metallic Stent by Using Polyflex Stent in Esophago-Colic Anastomotic Stricture

Bülent Tunçözgür, MD^a,_*, Muhammet Cemil Sava, MD^b, Ahmet Feridun Ik, MD^a, Akn Sarmehmetolu, MD^a, Maruf anl, MD^a, Levent Elbeyli, MD^a

^a Department of Thoracic Surgery, Gaziantep University Medical School, Gaziantep, Turkey
^b Department of Gastroenterology, Gaziantep University Medical School, Gaziantep, Turkey

Accepted for publication March 21, 2006.

^_* Address correspondence to Dr Tunçözgür, Thoracic Surgery Department, Gaziantep University Medical School, Gaziantep, 27310 Turkey. (Email: tuncozgur{at}gantep.edu.tr).

Benign strictures or anastomoses of the esophagus can be treated by stents. However, short-term and long-term complications, including migration and hyperplastic tissue reaction can occur. Bowel reconstruction by interposition has been performed after esophagectomy. Stricture of cervical anastomosis is an important late complication. Self-expandable metallic stents have been used to improve this problem. To remove the obstructed metallic stent, self-expandable covered plastic stents can be used. Herein we present the removal technique of tissue-embedded self-expandable metallic stents by using self-expandable covered plastic stents after colon interposition in a case of benign cervical anastomosis of the esophagus due to caustic stricture.