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Obstrucción intestinal secundaria a migración de prótesis esofágica
Intestinal obstruction secondary to migration of esophageal prosthesis
Resumen
La migración de la prótesis esofágica es una complicación relativamente frecuente con una incidencia de hasta el 20% según las series publicadas[1],[2]. A pesar de ello, supone una alternativa en el tratamiento de pacientes con estenosis esofágica neoplásica que presentan disfagia y que no son candidatos a tratamientos radicales.
Posteriormente ingresa por cuadro obstructivo donde se evidencia mediante tomografía computarizada (TC) la migración de la prótesis a íleon distal condicionando obstrucción intestinal completa.
Se decide intervención quirúrgica urgente realizando resección y anastomosis del segmento afecto.
El postoperatorio cursa sin incidencias y es dada de alta a domicilio.
Palabras clave: prótesis esofágica, estenosis esofágica, neoplasia de esófago.
Abstract
Migration of esophageal stent is a relatively frequent complication with an incidence of up to 20% according to some of the published series[1],[2]. Despite this, it is a beneficial palliative treatment in patients with neoplastic esophageal stricture who present dysphagia and who are not candidates for radical treatment.
We present the case of a 93-year-old woman with an esophageal stent due to dysphagia secondary to distal esophageal stenosis in relation to a neoformative process.
Subsequently, she was admitted due to obstructive symptoms where computed tomography (CT) showed migration of the stent to the distal ileum causing complete intestinal obstruction.
It was decided to perform urgent surgery by laparotomy resection of the distal ileum segment where the stent was located with primary laterolateral mechanical anastomosis.
The postoperative course was uneventful and she was discharged home.
Key words: esophageal stent, esophageal stenosis, esophageal neoplasia.