Spontaneous Closure of a Large Transmural Gastric Defect After Removal of a Migrated AXIOS Stent

Abstract

Pancreatic fluid collections occur in 5%–15% of acute complicated pancreatitis cases. Endoscopic drainage using lumen-apposing metal stents has become the treatment of choice with less incidence of complications, shorter hospital stays, and less cost. The AXIOS stent has proven to be safe and effective in several studies. Despite a low complication rate, bleeding, perforation, and stent migration were still reported. In this case, a patient presented for delayed AXIOS stent removal and was found to have stent migration with embedment in the gastric wall. The transmural defect that resulted after endoscopic stent removal was observed to close spontaneously without further need for intervention.