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A 75-year-old woman was admitted for the extraction of an esophageal fully covered metal stent (upper esophageal sphincter stent [80× 20 mm]; Leufen Medical, Berlin, Germany). The stent had been implanted 5 weeks earlier to treat an esophageal perforation sustained during bougienage of a benign proximal esophageal stenosis.

The location of the stent was distal to the stricture, so that only a transnasal endoscope (EG-530NW [5.1-mm outer diameter and 2.0-mm working channel]; Fujifilm Europe, Düsseldorf, Germany) could be passed. Only a small biopsy forceps (FB-21K-1; Olympus, Tokyo, Japan) was available for stent manipulation. The upper retrieval loop of the stent was grasped with the forceps, but the loop was destroyed while traction was applied to remove the stent.