Post written by Jose Antonio Navarro Almario, MD, from the Division of Gastroenterology and Hepatology, Johns Hopkins Hospital, Baltimore, Maryland, USA.

In this video, we demonstrate the use of the stent-in-stent technique to extract a retained esophageal stent.     

The formation of granulation tissue secondary to placement of an esophageal stent is common and can serve as an anchoring force to prevent migration. 

However, this tissue rarely inhibits endoscopic extraction. This video highlights a useful technique to safely overcome stent retention mediated by benign tissue ingrowth at the proximal aspect of the stent.  

We hope that other endoscopists can learn and use this technique when managing retained esophageal stents placed for benign obstructions.

Endoscopic appearance of the gastroesophageal junction and gastrojejunal anastomosis on index endoscopy.

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