Dealing with a misdeployed esophageal stent placed for variceal bleeding

A 54-year-old man with hepatitis C and alcohol-related Child–Pugh C cirrhosis had refractory ascites. He underwent band ligation of large esophageal varices because of his intolerance of beta blockers. Four bleeding episodes from ligation-induced ulcers occurred and an SX-Ella Danis fully covered self-expanding metal stent (SEMS) was placed during the last of these episodes ([Fig. 1] and [Fig. 2]). On endoscopic evaluation, the distal end of the...