Sami Almaskeen, MD, from the Division of Gastroenterology, Cedars-Sinai Medical Center, Los Angeles, California, USA shares this VideoGIE case “Over-the-scope stent: a novel technique for stent elongation and deployment.”

Migration of a fully covered self-expandable metal stent (SEMS) interferes with its effectiveness in closing GI leaks. We report a case of gastric leak that failed endoscopic therapy with conventional stenting, with and without anchoring, due to stent migration. A long, over-the-scope stent (OTSS) using a novel technique was then used resulting in tissue healing.

The video demonstrates a new technique for creating and placing a custom length stent, longer than ones commercially available to overcome problems with stent dislodgment in the treatment of gastrointestinal leaks.

This novel technique is easy to perform and might actually reduce expenses and patient suffering by minimizing repeated procedures and replacement of stents.

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