Use of a fully covered self-expandable metal stent for the treatment of benign esophageal diseases

Bakken, Johan C.; Song, Louis M. Wong Kee; Groen, Piet C. de; Baron, Todd H.

doi:10.1016/j.gie.2010.06.028

Cited by 135 publications

(90 citation statements)

References 10 publications

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“…In the study of Bakken et al (48), all stents were removed without any difficulty (although some were kept for a long time), but the migration rate was found to be high (35.6%). Because migrations were generally toward the stomach, no serious complications developed.…”

Section: Results Of Patients Being Inserted a Stentmentioning

confidence: 99%

The Benign Strictures of the Esophagus

Köksoy¹,

Gönüllü²

2016

JAREM

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Section: Results Of Patients Being Inserted a Stentmentioning

confidence: 99%

The Benign Strictures of the Esophagus

Köksoy¹,

Gönüllü²

2016

JAREM

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“…Lack of tissue integration, however, leads to migration risk2 and poor outcomes that may have affected the wider usage of stenting among surgeons. Fixation of the stent in good position requires placement across a stenosis, fixation with clips or anti‐migration features in the stent itself.…”

Section: Discussionmentioning

confidence: 99%

“…Wide uptake of resection bariatric surgery and interventional endoscopy has increased prevalence of the upper gastrointestinal tract injuries beyond that of leaks following cancer surgery. An indication of increasing frequency of such conditions in the last decade is the proliferation of literature related to the use of endoscopic therapies as alternatives to surgical management 1, 2, 3, 4, 5, 6. Endoscopic approaches not only seek to minimize invasive surgery and trauma to patients but they also present challenges due to the acuity of presentation and variability of the underlying pathologies.…”

Section: Introductionmentioning

confidence: 99%

Endoscopic modalities for upper gastrointestinal leaks, fistulae and perforations

Talbot

Yee

Saxena

2015

ANZ Journal of Surgery

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BackgroundEndotherapy techniques are a recent addition to the suite of non‐surgical and minimally invasive strategies to manage patients with perforations, leaks and fistulae. The emergency nature of these conditions and the heterogeneity of pathologies encountered create difficulties when trying to select appropriate tools in these complex situations. The purpose of this article is to review experience at a tertiary academic centre, describe the various endoscopic tools available and the situations where they can be considered for use.MethodsSingle‐centre series and review of the published literature.ResultsOf 64 patients, 57 were successfully treated using endoscopic therapy, with surgery used only to provide drainage and suture fully covered metal stents in place to prevent migration.DiscussionSelection of an appropriate endotherapy or stent for a patient with an oesophago‐gastric perforation or fistula requires an understanding of the anatomy and physiology underlying the patient's presentation and an understanding of the strengths and weaknesses of the available methods. Standard surgical principles of drainage, avoidance of distal obstruction and nutrition remain central to successful outcomes. A combination of surgical and endoscopic treatments may reduce the number of required treatments and can provide the ability to anchor fully covered stents to prevent them from migrating.

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“…The use of SEPS grew steadily until 2010 when a number of studies reported successful use of metal stents. [55][56][57][58] Since then, the use of SEPS declined not only due to high migration rate but other factors like need for pre-deployment assembly, stiffness of the stent and large size delivery system. 59 Bakken et al 55 was one of the first to report FCSEMS (AliMaxx-E; Alveolus, Charlotte, NC, USA) for benign esophageal leaks.…”

Section: Endoluminal Stentsmentioning

confidence: 99%

Endoscopic management of postoperative fistulas and leaks

Devaraj

Gavini

2017

Int J Gastrointest Interv

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Postoperative complications from gastrointestinal surgery can be associated with significant morbidity, and mortality especially if repeat surgery is needed to address these complications. There are wide array of endoscopic interventions and tools available for management of these complications using minimally invasive methods thus decreasing length of hospitalization, morbidity and leading to better patient outcomes. With the advent new tools like Overstitch device, Over the Scope Clip, fibrin glue, etc., these complications can be managed successfully with minimal morbidity. We provide an indepth discussion about available endoscopic options and their application in various scenarios in our article. Endoscopist should be familiar with these complications and endoscopic tools to promote use of these tools and techniques to achieve successful management of these complex conditions.

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Use of a fully covered self-expandable metal stent for the treatment of benign esophageal diseases

Cited by 135 publications

References 10 publications

The Benign Strictures of the Esophagus

The Benign Strictures of the Esophagus

Endoscopic modalities for upper gastrointestinal leaks, fistulae and perforations

Endoscopic management of postoperative fistulas and leaks

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