Sp808 Combined Otolaryngologic and Endoscopic Treatment of a Benign Esophageal Obstruction

Abstract

Fully covered expandable esophageal stents are increasingly being used for esophageal perforation/leaks/fistula. To our knowledge, no case has been reported where fully-covered self-expanding metal stents (SEMS) were used to manage an esophageal disruption with total circumferential loss of a segment of the esophagus so close to the UES. In this case, SEMS were removed three and a half years after deployment with regeneration of neo-esophagus showing squamous epithelium on histology. To our knowledge, this is also the first case where SEMS were kept in place for over 3 years and then successfully removed. This case also illustrates the techniques of how to precisely positioning the stent in the hypopharynx and the techniques of removing embedded stents.