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Cardiovasc Intervent Radiol. 2000 Nov-Dec;23(6):487-9.

Treatment of post-stent gastroesophageal reflux by anti-reflux Z-stent.

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  • 1Department of Radiology, North Western Adelaide Health Service, Woodville South, Adelaide, South Australia.


Severe symptoms of heartburn and retrosternal pain consistent with gastro-esophageal reflux (GER) developed in a patient following placement of a conventional self-expanding 16-24-mm-diameter x 12-cm-long esophageal stent across the gastroesophageal junction to treat an obstructing esophageal carcinoma. A second 18-mm-diameter x 10-cm-long esophageal stent with anti-reflux valve was deployed coaxially and reduced symptomatic GER immediately. Improvement was sustained at 4-month follow-up. An anti-reflux stent can be successfully used to treat significant symptomatic GER after conventional stenting.

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