The Korean Journal of Internal Medicine

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Original Article
Korean J Med. 2009;77(2):291-295.
진행성 위암의 위출구 폐색에 대한 스텐트 삽입 후 스텐트 절단이 발견된 2예
조근혁, 이준성, 이태희, 김완중, 정인섭, 김진오, 조주영
Two cases of stent fracture in malignant gastric outlet obstruction of advanced gastric cancer
Keun Hyok Cho, Joon Seong Lee, Tae Hee Lee, Wan Jung Kim, In Sup Jung, Jin Oh Kim, Joo Young Cho


Abstract
Endoscopic self-expandable metallic stent insertion is a safe and effective nonsurgical palliative treatment for patients with malignant gastric outlet obstruction. Complications after stent insertion, such as stent migration and tumor ingrowth, occur frequently; however, stent fractures are rare. Here we report two cases of stent fracture after endoscopic stent insertion in malignant gastric outlet obstruction. In one case, the patient had no symptoms; therefore, he received conservative treatment, whereas the second patient’s symptoms improved after cutting and extraction of the remnant wire with scissor forceps and the insertion of a new metal stent.

Keywords :Gastric outlet obstruction, Stent fracture
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