Percutaneous removal of migrated gastrointestinal stents using gastrostomy access

This report describes the experience of removing migrated gastrointestinal stents using a gastrostomy access. Four male patients ages years (23-62, mean 42) had 6 migrated stents removed using existing (n=3) or new (n=1) gastrostomy access. Removed stents included 5 covered esophageal stents that migrated into the stomach and 1 distal non-covered duodenal stent that migrated into the proximal duodenum. One patient had two stents removed during the same session. All stents were removed successfully without complications. Techniques used include folding technique using a wire in 3 and with use of forceps in 2 stents. Eversion technique was used in the duodenal stent. The gastrostomy or gastrojejunostomy tubes were replaced after stent removal and used for enteral feedings. In conclusion, removing migrated GI stents using existing or new G access is technically successful and safe.