Endoscopic treatment of postoperative esophagogastric leaks with fully covered self-expanding metal stents

Jorquera, E.; Valenzuela, Juan Egea; Jimenez, Athena; Zaragoza, Gabriel Carrilero; Sabater, Antonio Ortega; Velasco, Eduardo Sánchez; Angulo, David Ruíz de; Munítiz, Vicente; Parrilla, Pascual; Parras, Fernando Alberca de Las

doi:10.17235/reed.2020.6821/2019

Cited by 10 publications

(5 citation statements)

References 34 publications

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“…Esophageal endoluminal vacuum therapy with the Eso-SPONGE® system is an innovative, minimally invasive, effective and safe therapy, usually well tolerated, for the treatment of anastomotic leaks after spontaneous or iatrogenic esophageal resection or esophageal perforation. [1][2][3] It is therefore an alternative technique to the use of other therapeutic endoscopic procedures in esophageal fistulas, such as the use of Over-the-scope (OTSC®), covered esophageal metal stents, [4][5] with a high therapeutic success rate (80-100%). and a low rate of complications, which translates into a reduction in morbidity and mortality in this type of patient.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic endoluminal therapy with the Eso-SPONGE� system as a treatment of spontaneous esophageal perforation with associated paraesophagal collection

Álvarez¹,

Cano²,

González³

et al. 2023

Rev Esp Enferm Dig

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Section: Discussionmentioning

confidence: 99%

Endoscopic endoluminal therapy with the Eso-SPONGE� system as a treatment of spontaneous esophageal perforation with associated paraesophagal collection

Álvarez¹,

Cano²,

González³

et al. 2023

Rev Esp Enferm Dig

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“…Studies in the literature have reported stent migration in 10-40% of patients [20,24,25,35,40]. Stent migration rates vary depending on the diameter of the stent, the type of coating, the insertion site and the material used to make the stent [58].…”

Section: Stent Migrationmentioning

confidence: 99%

The Use of Esophageal Stents in the Management of Postoperative Fistulas—Current Status, Clinical Outcomes and Perspectives—Review

Hoara

Achim

et al. 2023

Life

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Esophageal fistula remains one of the main postoperative complications, with the treatment often requiring the use of stents. This article reviews the updates on the use of endoscopic stents for the treatment of postoperative esophageal leakage in terms of indications, types of stents used, efficiency, specific complications and perspectives. Materials and Methods: We searched the PubMed and MEDLINE databases for the keywords postoperative esophageal anastomotic leak and postoperative esophageal anastomotic leak stent, and retrieved relevant papers published until December 2022. Results: The endoscopic discovery of the fistula is usually followed by the insertion of a fully covered esophageal stent. It has an efficiency of more than 60% in closing the fistula, and the failure is related to the delayed application of the method, a situation more suitable for endo vac therapy. The most common complication is migration, but life-threatening complications have also been described. The combination of the advantages of endoscopic stents and vacuum therapy is probably found in the emerging VACstent procedure. Conclusions: Although the competing approaches give promising results, this method has a well-defined place in the treatment of esophageal fistulas, and it is probably necessary to refine the indications for each individual procedure.

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“…Todavía no se ha establecido un consenso sobre el tiempo óptimo de retiro de la endoprótesis para lograr el cierre de una fuga esofágica. En estudios recientes, el tiempo necesario varía entre 4 y 12 semanas (14) .…”

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Stents en fístulas esofagogástricas postquirúrgicas: in medio virtus

Llano

2021

Rev. colomb. Gastroenterol.

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Endoscopic treatment of postoperative esophagogastric leaks with fully covered self-expanding metal stents

Cited by 10 publications

References 34 publications

Endoscopic endoluminal therapy with the Eso-SPONGE� system as a treatment of spontaneous esophageal perforation with associated paraesophagal collection

Endoscopic endoluminal therapy with the Eso-SPONGE� system as a treatment of spontaneous esophageal perforation with associated paraesophagal collection

The Use of Esophageal Stents in the Management of Postoperative Fistulas—Current Status, Clinical Outcomes and Perspectives—Review

Stents en fístulas esofagogástricas postquirúrgicas: in medio virtus

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