Self-expanding covered metallic stent in the management of malignant gastric stenosis after gastric pull-up operation

Introduction: Following resection of oesophagus and cardia cancer, reconstruction in most cases is achieved by gastric pull-up operation. If the replacement is performed in the posterior mediastinum, the local recidiv tumour can spread onto the pulled up stomach causing stenosis. We treated two such patients with double funnelled, covered metal stents. Patients and method: Double funnelled, covered gastric prosthesis composed of stainless steal wire, which is connected by polyethylene cover. Case 1: In a 66 years old patient a distal oesophagectomy and proximal gastrectomy was performed due to cardia tumour and…