The Temporary Placement of Covered Self-Expandable Metal Stents to Seal Various Gastrointestinal Leaks after Surgery
A 59-year-old man visited the emergency department due to severe epigastric pain. A perforated duodenal ulcer was diagnosed, and a primary closure with omentopexy was performed. However, radiocontrast study 6 days later revealed leakage from the primary closure site (). A partially covered SEMS (HANAROSTENT® duodenum/pylorus (NCN), 2.0×11.0 cm; M. I. Tech Co., Ltd., Pyeongtaek, Korea) was applied to the leakage site through the scope. Five days later, follow-up radiocontrast study did not reveal any leakage (), and the amount of peritoneal drainage decreased to less than 15 mL/day. Oral feeding was permitted immediately, and the stent was removed 13 days after the insertion. Balloon dilation was required due to duodenal stricture after 2 months. The patient was in good condition during a 2-month follow-up after the dilatation.