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Case Reports in Surgery
Volume 2015, Article ID 839057, 7 pages
http://dx.doi.org/10.1155/2015/839057
Case Report

Esophagojejunal Anastomosis Fistula, Distal Esophageal Stenosis, and Metalic Stent Migration after Total Gastrectomy

1Department of Surgery, Regional Institute of Gastroenterology and Hepatology “Prof. Dr. Octavian Fodor”, Croitorilor Street, No. 19-21, 400162 Cluj-Napoca, Romania
23rd Surgical Clinic, Iuliu Hatieganu University of Medicine and Pharmacy, Croitorilor Street, No. 19-21, 400162 Cluj-Napoca, Romania
3Training and Research Center “Prof. Dr. Sergiu Duca”, Petre Ispirescu Street, No. 1, 400090 Cluj-Napoca, Romania
4Department of Oncological Surgery, The Oncology Institute “Prof. Dr. Ion Chiricuţă” Republicii Street, No. 34-36, 400015 Cluj-Napoca, Romania
5Department of Intensive Care Unit, Regional Institute of Gastroenterology and Hepatology “Prof. Dr. Octavian Fodor”, Croitorilor Street, No. 19-21, 400162 Cluj-Napoca, Romania
61st Anesthesiology and Critical Care Clinic, Iuliu Hatieganu University of Medicine and Pharmacy, Croitorilor Street, No. 19-21, 400162 Cluj-Napoca, Romania
7Department of Gastroenterology, Regional Institute of Gastroenterology and Hepatology “Prof. Dr. Octavian Fodor”, Croitorilor Street, No. 19-21, 400162 Cluj-Napoca, Romania
83rd Medical Clinic, Iuliu Hatieganu University of Medicine and Pharmacy, Croitorilor Street, No. 19-21, 400162 Cluj-Napoca, Romania

Received 6 December 2014; Revised 25 March 2015; Accepted 30 March 2015

Academic Editor: Shin-ichi Kosugi

Copyright © 2015 Nadim Al Hajjar et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Esophagojejunal anastomosis fistula is the main complication after a total gastrectomy. To avoid a complex procedure on friable inflamed perianastomotic tissues, a coated self-expandable stent is mounted at the site of the anastomotic leak. A complication of stenting procedure is that it might lead to distal esophageal stenosis. However, another frequently encountered complication of stenting is stent migration, which is treated nonsurgically. When the migrated stent creates life threatening complications, surgical removal is indicated. We present a case of a 67-year-old male patient who was treated at our facility for a gastric adenocarcinoma which developed, postoperatively, an esophagojejunostomy fistula, a distal esophageal stenosis, and a metallic coated self-expandable stent migration. To our knowledge, this is the first reported case of an esophagojejunostomy fistula combined with a distal esophageal stenosis as well as with a metallic coated self-expandable stent migration.