BUCKLING OF REDUNDANT EXPANSILE STENT DISTAL TO AN ESOPHAGEAL CANCER - ENDOSCOPIC MANAGEMENT

This report describes a complication that occurred as a result of depl oying an Ultraflex stent too low in relation to a stenosing carcinoma of the gastro-oesophageal junction. Intermittent kinking of the redund ant lower end of the stent caused frequent episodes of total dysphagia . A percutaneous endoscopic gastrostomy was deployed to anchor the red undant portion of the stent within the stomach, allowing it to be shor tened with endoscopic stitch cutters. This procedure relieved the epis odic dysphagia, and was well tolerated.