[A Case of Recurrent Stenosis after Metallic Stenting for Esophagogastric Junction Adenocarcinoma with Peritoneal Metastases]

Gan To Kagaku Ryoho. 2017 Nov;44(12):1907-1909.
[Article in Japanese]

Abstract

A 65-year-old man presented with severe strictures from the esophagogastric junction to the body of the stomach and was histopathologically diagnosed with adenocarcinoma. Computed tomography showed multiple peritoneal metastases. A long, covered metallic stent was placed, and chemotherapy was started. Subsequent granulation from the oral side of the stent caused stricture formation, and a covered stent was also placed. After 8 months, granulation from the oral side of the stent caused recurrent stricture formation. We again placed a metallic stent. Successful chemotherapy for stomach cancer with long-term benefit is possible with new molecularly targeted drugs. Stenting may cause adverse events such as stenosis, but can enable oral intake and is minimally invasive. This report describes a case that required multiple stent placement and reviews the relevant literature.

Publication types

  • Case Reports

MeSH terms

  • Adenocarcinoma / therapy*
  • Aged
  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use*
  • Constriction, Pathologic / etiology
  • Constriction, Pathologic / therapy*
  • Esophageal Diseases / etiology
  • Esophageal Diseases / pathology
  • Esophageal Diseases / therapy*
  • Esophageal Neoplasms / therapy*
  • Esophagogastric Junction*
  • Humans
  • Male
  • Peritoneal Neoplasms / drug therapy*
  • Peritoneal Neoplasms / secondary
  • Recurrence
  • Stents*

Supplementary concepts

  • Adenocarcinoma Of Esophagus