Removable and repositionable covered metal self-expandable stents for leaks after upper gastrointestinal surgery: experiences in a tertiary referral hospital

Leenders, B. J. M.; Stronkhorst, Arnold; Smulders, F; Nieuwenhuijzen, Grard A. P.; Gilissen, Lennard P L

doi:10.1007/s00464-013-2802-1

Cited by 51 publications

(63 citation statements)

References 36 publications

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“…To prevent this event, clip application, large size of indwelling stent, suture fixation and partial covered stent usage have been shown to decrease the treatment failure rates [2,14,15].…”

Section: Discussionmentioning

confidence: 99%

“…An anastomotic leakage is a serious complication that can arise after upper and lower gastrointestinal surgery [1,2]. This complication can lead to significant morbidity and mortality and prolonged hospital stay.…”

Section: Introductionmentioning

confidence: 99%

“…Anastomotic leakages also cause high mortality and morbidity after upper gastrointestinal surgery. Particularly after an esophagectomy, anastomotic leakage occurs at a rate of 4-30% and has a high mortality rate [2,5,6].…”

Section: Introductionmentioning

confidence: 99%

“…Until recently, the approach for managing postoperative anastomotic leaks was mainly surgical or radiological percutaneous drainage, as well as antibiotic therapy, bowel rest, parenteral nutrition and, if necessary, diversion [1,2,[5][6][7].…”

Section: Introductionmentioning

confidence: 99%

“…Today, endoscopic self-expanded covered stent placement is well accepted as an effective treatment modality for anastomotic leakage in the gastrointestinal tract, and its usage is gradually increasing [2,[5][6][7][8].…”

Section: Introductionmentioning

confidence: 99%

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Endoscopic approach to anastomotic leaks: partially covered self-expandable stents. A single center’s experience

Aday¹,

Duman²,

Deđer³

et al. 2017

Arch Med Sci Civil Dis

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A b s t r a c tIntroduction: Anastomotic leakage is an important and undesirable major complication after upper and lower gastrointestinal surgery. This complication can lead to significant morbidity and mortality and prolonged hospital stay. The objective of this study was to evaluate the safety and technical and clinical outcomes of temporary partially covered self-expandable metallic stent (PCSEMS) placement for treating anastomotic leaks after gastrointestinal tract surgery. Material and methods: Medical records of 9 patients who had undergone partial covered self-expandable esophageal or colonic stenting either for colorectal anastomotic leak or esophageal anastomotic leak in Kartal Kosuyolu Higher Specialty Training and Research Hospital between April 2012 and October 2015 were collected. Living patients were recalled for the policlinic follow-up and recent status was recorded. Results: The mean age was 57 (37-78) years. Six of the patients were male and 3 of them female. Stents were successfully placed in all patients in the fistula localization on the first attempt. Stent migration was encountered in 3 patients and restenting was performed in 2 of these patients. No complications were seen related to the indwelling stents. Stent treatment failure occurred in 2 of the 9 patients. The mean removal time of the stent was 43 (5-70) days and it was not possible to get the stent out in 1 patient. Conclusions: Endoscopic stenting is a minimally invasive and highly effective procedure that gives promise for the treatment of fistula after digestive surgery in the future.

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“…To prevent this event, clip application, large size of indwelling stent, suture fixation and partial covered stent usage have been shown to decrease the treatment failure rates [2,14,15].…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%