Upper Gastrointestinal Stent Insertion in Malignant and Benign Disorders

Kang, Hyoun Woo; Kim, Sang Gyun

doi:10.5946/ce.2015.48.3.187

Cited by 34 publications

(41 citation statements)

References 74 publications

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“…2 Success is nonetheless variable in treating benign strictures and refractory oesophageal variceal bleeding. 1 In malignant oesophagorespiratory fistulae (ORF), 80% of cases achieve complete healing with SEMS. 3 Little is known about the efficacy in benign ORF, OPF in particular, due to the clinical rarity and inherent heterogeneity.…”

Section: Discussionmentioning

confidence: 99%

“…Migration of the stent contributes to clinical failure, and appears to be a particularly troubling issue for fully covered SEMS, with 10% to 25% occurrence in covered stents and 2% to 5% in uncovered. 1 It is also more frequent in placements for fistulae (33.3%) compared with benign strictures (15.8%).…”

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confidence: 99%

“…Fully covered SEMS is the stent-of-choice in managing fistulae, since the covering is vital for leakage prevention and easy retrievability. 1 Most published studies suggest stent placement immediately after leakage confirmation to minimise mediastinal contamination. 3 Insertion is via upper endoscopy under sedation, with the patient in a left lateral or prone position to minimise aspiration.…”

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confidence: 99%

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Retrievable endoscopic stenting for tuberculous oesophagopleural fistula with empyema

Chan¹,

Chan²

2017

Hong Kong Med J

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A 23-year-old female was admitted for fever, cough, and right pleuritic pain in January 2015. Chest X-ray revealed right pleural effusion. Subsequent computed tomography of the thorax demonstrated necrotising pneumonitis in the right lower lobe, with large right empyema and multiple left lung centrilobular nodules suspicious of tuberculosis (Fig 1a). On admission, haemoglobin level was only 84 g/L. Oesophagogastroduodenoscopy (OGD) found a linear deep oesophageal ulceration with suspected fistula opening (Fig 1b), biopsy of which

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Section: Discussionmentioning

confidence: 99%

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confidence: 99%

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confidence: 99%

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Retrievable endoscopic stenting for tuberculous oesophagopleural fistula with empyema

Chan¹,

Chan²

2017

Hong Kong Med J

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“…costo (32). El esofagograma es una herramienta de utilidad para evaluar su localización, así como su funcionalidad (32) (Figura 13 y 14).…”

Section: A B Cunclassified

Esofagograma: imágenes que valen mas que mil palabras

Segura

Gómez

Meza

et al. 2017

Rev. Colomb. Gastroenterol.

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ResumenEl estudio de las enfermedades esofágicas requiere de múltiples exámenes diagnósticos, ya que ninguno, por sí solo, provee total información sobre la funcionalidad y la anatomía del tracto digestivo superior. Para los cirujanos generales y gastrointestinales, el esofagograma constituye una herramienta esencial que, además de sugerir un diagnóstico, ofrece una idea de la anatomía del órgano y nos permite esbozar un mapa de fácil evaluación (sin la necesidad de un radiólogo), para establecer o definir un plan quirúrgico. El objetivo del presente artículo es mostrar al lector la utilidad del esofagograma en centros de referencia en el estudio y el tratamiento de las enfermedades esofágicas, así como su representación en algunas enfermedades frecuentes. Palabras clavesEsófago, enfermedades del esófago, neoplasias esofágicas, esofagograma. AbstractThe study of esophageal diseases requires multiple diagnostic tests since no one test alone can provide full information on upper digestive tract anatomy and functionality. For general surgeons and gastrointestinal surgeons, the esophagogram is an essential tool that can suggest a diagnosis while simultaneously providing an idea of the anatomy of the organ and outlining an easily evaluated map without the need of a radiologist. This information can be used to establish a surgical plan. The aim of this article is to show readers the usefulness of esophagograms at referral centers for study and treatment of esophageal diseases while providing representations of several frequent diseases. KeywordsEsophagus, diseases of the esophagus, esophageal neoplasms, esophagogram.Revisión de tema DOI: https://doi.org/10.22516/25007440.157 INTRODUCCIÓNEl estudio de las enfermedades del esófago requiere de múltiples ayudas diagnósticas que aporten, dependiendo de la enfermedad, información sobre su funcionalidad o anatomía. El esofagograma es un estudio radiológico diná-mico del tracto digestivo superior que utiliza un medio de contraste y aire (doble contraste) y permite realizar una aproximación diagnóstica de anomalías estructurales y funcionales del esófago. Para los cirujanos generales y gastrointestinales, este estudio -cada vez más en desuso-es un instrumento esencial que nos acerca al diagnóstico y planeación de un tratamiento quirúrgico.El objetivo del presente artículo es mostrar la utilidad del esofagograma en centros de referencia en el estudio y el tratamiento de las enfermedades esofágicas, así como su

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“…4,5 Temporary placement of FC-SEMS can also be used to treat benign non-obstructive conditions in the GI tract, such as oesophageal and colonic fistulas. 6 In recent years, endoscopic ultrasound (EUS) has emerged as a mainstream therapeutic modality for drainage and fine-needle injection. 7 EUS-guided drainage has been successfully used in the treatment of peripancreatic fluid collections (PFCs).…”

Section: Introductionmentioning

confidence: 99%

Endoscopic ultrasound-guided extraluminal drainage: Novel concepts, challenges and future directions

Madácsy

Kaltsidis²

2017

Int J Gastrointest Interv

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A B S T R A C TEndoscopic ultrasound (EUS)-guided management of abdominal fluid collections adjacent to the gastroduodenal lumen is a relatively new concept attracting a lot of interest in recent years. The ability of EUS to identify and drain these collections in the same session accounts for the surge of interest in these novel techniques. On the other hand, the complexity of these interventions and associated serious complications has moderated the enthusiasm of novice endoscopists to some extent and reiterated that focused research and technical innovations are needed to make EUS-guided drainage simpler and safer. Self-expandable metallic stents (SEMS) have emerged in the last decade in the endoscopic management of malignant luminal gastrointestinal strictures. The use of SEMS in the management of benign conditions (biliary, pancreatic, and colonic strictures) is also rapidly expanding. Recently, fully-covered (FC)-SEMS have been successfully used for drainage of peripancreatic and pericholecystic fluid collections. Here we will review the existing data and future directions in the use of FC-SEMS for such drainage procedures. We will also review the literature on novel "purpose-made" prostheses, such as the lumen-apposing metallic stents, which aim to address technical problems arising in EUS-guided drainage procedures when conventional SEMS are used. Further development of these and other similar devices may transform EUS-guided drainage procedures from an esoteric concept to "mainstream", first-line intervention.

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Upper Gastrointestinal Stent Insertion in Malignant and Benign Disorders

Cited by 34 publications

References 74 publications

Retrievable endoscopic stenting for tuberculous oesophagopleural fistula with empyema

Retrievable endoscopic stenting for tuberculous oesophagopleural fistula with empyema

Esofagograma: imágenes que valen mas que mil palabras

Endoscopic ultrasound-guided extraluminal drainage: Novel concepts, challenges and future directions

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