{"title":"[晚期胃癌长期化疗后放置金属支架致食管穿孔1例]。","authors":"Kengo Okabe, Naoto Iwai, Hiroaki Sakai, Kohei Oka, Tomoya Ohara, Shinya Okishio, Mariko Kubota, Tasuku Hara, Toshifumi Tsuji, Takashi Okuda, Toshiyuki Komaki, Keizo Kagawa, Junichi Sakagami","doi":"","DOIUrl":null,"url":null,"abstract":"<p><p>A 72-year-old man had been undergoing chemotherapy for advanced gastric cancer for over 4 years. He presented with dysphagia, and esophagogastroduodenoscopy(EGD)revealed esophageal stricture due to tumor growth. Subsequently, he underwent placement of a partially covered esophageal stent(HANAROSTENT® Esophagus, M. I. Tech, Seoul, Korea; length, 15 cm; diameter, 18 mm). Nine days after stent placement, the patient experienced acute back pain. Computed tomography revealed right-sided pneumothorax and empyema. EGD revealed an esophageal perforation in the uncovered portion of the stent on the oral side, and gastrografin fluoroscopy revealed leakage into the thoracic cavity. A covered esophageal stent (HANAROSTENT® Esophagus; length, 8 cm; diameter, 18 mm)was additionally placed on the oral side of the perforation; however, the empyema did not improve. The patient died due to the aggravation of advanced gastric cancer 2 months after placement of the first stent.</p>","PeriodicalId":35588,"journal":{"name":"Japanese Journal of Cancer and Chemotherapy","volume":"51 11","pages":"1165-1167"},"PeriodicalIF":0.0000,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"[A Case of Esophageal Perforation Caused by Metallic Stent Placement after Long-Term Chemotherapy for Advanced Gastric Cancer].\",\"authors\":\"Kengo Okabe, Naoto Iwai, Hiroaki Sakai, Kohei Oka, Tomoya Ohara, Shinya Okishio, Mariko Kubota, Tasuku Hara, Toshifumi Tsuji, Takashi Okuda, Toshiyuki Komaki, Keizo Kagawa, Junichi Sakagami\",\"doi\":\"\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>A 72-year-old man had been undergoing chemotherapy for advanced gastric cancer for over 4 years. He presented with dysphagia, and esophagogastroduodenoscopy(EGD)revealed esophageal stricture due to tumor growth. Subsequently, he underwent placement of a partially covered esophageal stent(HANAROSTENT® Esophagus, M. I. Tech, Seoul, Korea; length, 15 cm; diameter, 18 mm). Nine days after stent placement, the patient experienced acute back pain. Computed tomography revealed right-sided pneumothorax and empyema. EGD revealed an esophageal perforation in the uncovered portion of the stent on the oral side, and gastrografin fluoroscopy revealed leakage into the thoracic cavity. A covered esophageal stent (HANAROSTENT® Esophagus; length, 8 cm; diameter, 18 mm)was additionally placed on the oral side of the perforation; however, the empyema did not improve. The patient died due to the aggravation of advanced gastric cancer 2 months after placement of the first stent.</p>\",\"PeriodicalId\":35588,\"journal\":{\"name\":\"Japanese Journal of Cancer and Chemotherapy\",\"volume\":\"51 11\",\"pages\":\"1165-1167\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-11-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Japanese Journal of Cancer and Chemotherapy\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Japanese Journal of Cancer and Chemotherapy","FirstCategoryId":"1085","ListUrlMain":"","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
[A Case of Esophageal Perforation Caused by Metallic Stent Placement after Long-Term Chemotherapy for Advanced Gastric Cancer].
A 72-year-old man had been undergoing chemotherapy for advanced gastric cancer for over 4 years. He presented with dysphagia, and esophagogastroduodenoscopy(EGD)revealed esophageal stricture due to tumor growth. Subsequently, he underwent placement of a partially covered esophageal stent(HANAROSTENT® Esophagus, M. I. Tech, Seoul, Korea; length, 15 cm; diameter, 18 mm). Nine days after stent placement, the patient experienced acute back pain. Computed tomography revealed right-sided pneumothorax and empyema. EGD revealed an esophageal perforation in the uncovered portion of the stent on the oral side, and gastrografin fluoroscopy revealed leakage into the thoracic cavity. A covered esophageal stent (HANAROSTENT® Esophagus; length, 8 cm; diameter, 18 mm)was additionally placed on the oral side of the perforation; however, the empyema did not improve. The patient died due to the aggravation of advanced gastric cancer 2 months after placement of the first stent.
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