Combined Laparoscopic & Endoscopic Transgastric Esophageal Stent Retrieval

Viet Phuong, MD, Kevin El-Hayek, MD, Matthew Kroh, MD, FACS

Cleveland Clinic Foundation

Management of chronic benign esophageal stricture is challenging. Patients often undergo repeated esophageal dilation & stent changes to alleviate their dysphagia. Esophageal stents can migrate and be difficult to retrieve. The following case highlights the management of this complication. The patient has chronic distal esophageal stricture for refractory candidiasis infection in the setting of AIDS. He has undergone numerous esophageal dilations and stenting to palliate his severe dysphagia. A fully covered stent placed in his esophagus migrated into his stomach, not amenable to endoscopic retrieval. The video demonstrates a combined lapaorscopic & endoscopic transgastric stent retrieval technique. The minimally invasive technique demostrated the benefits of using both laparoscopic and endscopic visualization to safely remove the migrated stent.

Session: Video Channel Day 1

Program Number: V053

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