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Newly designed OTS Clip for preventing fully-covered self-expandable metal stent migration in the gastrointestinal tract
Background and study aims Fully-covered self-expandable metal stents (FCSEMS) are frequently used for endoscopic management of gastrointestinal lesions. However, stent migration occurs in up to one-third of patients. Different tools are used to anchor stents to prevent migration. A specifically des...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Georg Thieme Verlag KG
2023
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10038747/ https://www.ncbi.nlm.nih.gov/pubmed/36968979 http://dx.doi.org/10.1055/a-2032-4147 |
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author | Manta, Raffaele Del Nero, Lorenzo Todd, Baron Parodi, Andrea De Ceglie, Antonella Zito, Francesco Pasquale, Luigi Zullo, Angelo Conio, Massimo |
author_facet | Manta, Raffaele Del Nero, Lorenzo Todd, Baron Parodi, Andrea De Ceglie, Antonella Zito, Francesco Pasquale, Luigi Zullo, Angelo Conio, Massimo |
author_sort | Manta, Raffaele |
collection | PubMed |
description | Background and study aims Fully-covered self-expandable metal stents (FCSEMS) are frequently used for endoscopic management of gastrointestinal lesions. However, stent migration occurs in up to one-third of patients. Different tools are used to anchor stents to prevent migration. A specifically designed over-the-scope device (Stentfix OTS Clip system) was recently introduced to prevent fully covered SEMS migration in the gastrointestinal tract. The study aimed to evaluate technical success and stent migration rates with the Stentfix device. Patients and methods Data were collected from consecutive patients at four participating centers who were at high risk of FCSEMS migration and in whom the anchoring system was used to prevent migration. Results A total of 31 patients were enrolled. Technically successful clip placement was achieved in all cases. At follow-up, the distal part of the device dislocated from the duodenum into the antrum at 3 days in one patient, accounting for a 3.2 % (95 % CI = 0–9.4) rate of stent migration. The underlying lesion being treated healed in all patients, but 10 patients died before stent removal due to neoplastic progression. Conclusions A dedicated over-the-scope stent fixation device appears to be safe and effective in preventing fully-covered SEMS migration through the gastrointestinal tract. |
format | Online Article Text |
id | pubmed-10038747 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Georg Thieme Verlag KG |
record_format | MEDLINE/PubMed |
spelling | pubmed-100387472023-03-25 Newly designed OTS Clip for preventing fully-covered self-expandable metal stent migration in the gastrointestinal tract Manta, Raffaele Del Nero, Lorenzo Todd, Baron Parodi, Andrea De Ceglie, Antonella Zito, Francesco Pasquale, Luigi Zullo, Angelo Conio, Massimo Endosc Int Open Background and study aims Fully-covered self-expandable metal stents (FCSEMS) are frequently used for endoscopic management of gastrointestinal lesions. However, stent migration occurs in up to one-third of patients. Different tools are used to anchor stents to prevent migration. A specifically designed over-the-scope device (Stentfix OTS Clip system) was recently introduced to prevent fully covered SEMS migration in the gastrointestinal tract. The study aimed to evaluate technical success and stent migration rates with the Stentfix device. Patients and methods Data were collected from consecutive patients at four participating centers who were at high risk of FCSEMS migration and in whom the anchoring system was used to prevent migration. Results A total of 31 patients were enrolled. Technically successful clip placement was achieved in all cases. At follow-up, the distal part of the device dislocated from the duodenum into the antrum at 3 days in one patient, accounting for a 3.2 % (95 % CI = 0–9.4) rate of stent migration. The underlying lesion being treated healed in all patients, but 10 patients died before stent removal due to neoplastic progression. Conclusions A dedicated over-the-scope stent fixation device appears to be safe and effective in preventing fully-covered SEMS migration through the gastrointestinal tract. Georg Thieme Verlag KG 2023-03-24 /pmc/articles/PMC10038747/ /pubmed/36968979 http://dx.doi.org/10.1055/a-2032-4147 Text en The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/) https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited. |
spellingShingle | Manta, Raffaele Del Nero, Lorenzo Todd, Baron Parodi, Andrea De Ceglie, Antonella Zito, Francesco Pasquale, Luigi Zullo, Angelo Conio, Massimo Newly designed OTS Clip for preventing fully-covered self-expandable metal stent migration in the gastrointestinal tract |
title | Newly designed OTS Clip for preventing fully-covered self-expandable metal stent migration in the gastrointestinal tract |
title_full | Newly designed OTS Clip for preventing fully-covered self-expandable metal stent migration in the gastrointestinal tract |
title_fullStr | Newly designed OTS Clip for preventing fully-covered self-expandable metal stent migration in the gastrointestinal tract |
title_full_unstemmed | Newly designed OTS Clip for preventing fully-covered self-expandable metal stent migration in the gastrointestinal tract |
title_short | Newly designed OTS Clip for preventing fully-covered self-expandable metal stent migration in the gastrointestinal tract |
title_sort | newly designed ots clip for preventing fully-covered self-expandable metal stent migration in the gastrointestinal tract |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10038747/ https://www.ncbi.nlm.nih.gov/pubmed/36968979 http://dx.doi.org/10.1055/a-2032-4147 |
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