• Internal medicine · May 2021

    Case Reports

    Fracture of a Self-expandable Metallic Stent Inserted for Malignant Gastric Outlet Obstruction.

    • Makoto Kadokura, Yumi Takenaka, Hiroki Yoda, Tomoki Yasumura, Tetsuya Okuwaki, Keisuke Tanaka, and Fumitake Amemiya.
    • Department of Gastroenterology, Kofu Municipal Hospital, Japan.
    • Intern. Med. 2021 May 15; 60 (10): 1525-1528.

    AbstractDuodenal stenting has gradually been established as the first-line treatment for malignant gastric outlet obstruction (GOO). We encountered a case of duodenal stent fracture in a 76-year-old woman with gastric cancer and GOO. She underwent self-expandable metallic stent (SEMS) placement. The SEMS was found to be fractured 4 weeks after its placement. We removed the broken part of the stent and placed a second SEMS. SEMS fracture is a rare and - to the best of our knowledge - unreported complication; hence, clinicians and their patients should be aware of this possibility.

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