| Carcinoma stenting with Choo-Stent - See also Stent discriptions
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At 34 cm a high grade stenosis is found, an inoperaple esophageal carcinoma is diagnosed
The stenosis is still passable with the endoscope. The tumor is infiltrating the gastric mucosa
of the lesser cuvature. |
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Since esophageal are not implanted via the working channel of the endoscope, a endoscopically
controlled, radiological marking of the tumor length has to be performed first.
In this case tiny saws used to open medical glas ampullas were used.
Therafter a guide wire is placed through the stenosis as far as the antrum. The gastroscope is removed.
An ERCP catheter is attached to the gastroscope using a snare. Once again the endoscope is removed.
The stenosis is depicted radiologically.
Thereafter the application device is introduced and the stent is deployed.
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Final endoscopic and fluoroscopic check up.
The stent is located correctly, the upper end is close to the mucosa, thus retention
of food between the stent and the mucosa is unlikely. |