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Endoscopic placement of fully covered self expanding metal stents for management of post-operative foregut leaks

BACKGROUND: Fully covered self-expanding metal stent (SEMS) placement has been successfully described for the treatment of malignant and benign conditions. The aim of this study is to evaluate our experience of fully covered SEMS placement for post-operative foregut leaks. MATERIALS AND METHODS: Ret...

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Autores principales: Donatelli, Gianfranco, Dhumane, Parag, Perretta, Silvana, Dallemagne, Bernard, Vix, Michele, Mutter, Didier, Dritsas, Stavros, Doffoel, Michel, Marescaux, Jacques
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3523447/
https://www.ncbi.nlm.nih.gov/pubmed/23248437
http://dx.doi.org/10.4103/0972-9941.103109
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author Donatelli, Gianfranco
Dhumane, Parag
Perretta, Silvana
Dallemagne, Bernard
Vix, Michele
Mutter, Didier
Dritsas, Stavros
Doffoel, Michel
Marescaux, Jacques
author_facet Donatelli, Gianfranco
Dhumane, Parag
Perretta, Silvana
Dallemagne, Bernard
Vix, Michele
Mutter, Didier
Dritsas, Stavros
Doffoel, Michel
Marescaux, Jacques
author_sort Donatelli, Gianfranco
collection PubMed
description BACKGROUND: Fully covered self-expanding metal stent (SEMS) placement has been successfully described for the treatment of malignant and benign conditions. The aim of this study is to evaluate our experience of fully covered SEMS placement for post-operative foregut leaks. MATERIALS AND METHODS: Retrospective analysis was done for indications, outcomes and complications of SEMS placed in homogeneous population of 15 patients with post-operative foregut leaks in our tertiary-care centre from December 2008 to December 2010. Stent placement and removal, clinical and radiological evidence of leak healing, migration and other complications were the main outcomes analyzed. RESULTS: Twenty-three HANAROSTENT(®) SEMS were successfully placed in 14/15 patients (93%) with post-operative foregut leaks for an average duration of 28.73 days (range=1-42 days) per patient and 18.73 days per SEMS. Three (20%) patients needed to be re-stented for persistent leaks ultimately resulting in leak closure. Total 5/15 (33.33%) patients and 7/23 (30.43%) stents showed migration; 5/7 (71.42%) migrated stents could be retrieved endoscopically. There were mucosal ulceration in 2/15 (13.33%) and pain in 1/15 (6.66%) patients. CONCLUSIONS: Stenting with SEMS seems to be a feasible option as a primary care modality for patients with post-operative foregut leaks.
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spelling pubmed-35234472012-12-17 Endoscopic placement of fully covered self expanding metal stents for management of post-operative foregut leaks Donatelli, Gianfranco Dhumane, Parag Perretta, Silvana Dallemagne, Bernard Vix, Michele Mutter, Didier Dritsas, Stavros Doffoel, Michel Marescaux, Jacques J Minim Access Surg Original Article BACKGROUND: Fully covered self-expanding metal stent (SEMS) placement has been successfully described for the treatment of malignant and benign conditions. The aim of this study is to evaluate our experience of fully covered SEMS placement for post-operative foregut leaks. MATERIALS AND METHODS: Retrospective analysis was done for indications, outcomes and complications of SEMS placed in homogeneous population of 15 patients with post-operative foregut leaks in our tertiary-care centre from December 2008 to December 2010. Stent placement and removal, clinical and radiological evidence of leak healing, migration and other complications were the main outcomes analyzed. RESULTS: Twenty-three HANAROSTENT(®) SEMS were successfully placed in 14/15 patients (93%) with post-operative foregut leaks for an average duration of 28.73 days (range=1-42 days) per patient and 18.73 days per SEMS. Three (20%) patients needed to be re-stented for persistent leaks ultimately resulting in leak closure. Total 5/15 (33.33%) patients and 7/23 (30.43%) stents showed migration; 5/7 (71.42%) migrated stents could be retrieved endoscopically. There were mucosal ulceration in 2/15 (13.33%) and pain in 1/15 (6.66%) patients. CONCLUSIONS: Stenting with SEMS seems to be a feasible option as a primary care modality for patients with post-operative foregut leaks. Medknow Publications & Media Pvt Ltd 2012 /pmc/articles/PMC3523447/ /pubmed/23248437 http://dx.doi.org/10.4103/0972-9941.103109 Text en Copyright: © Journal of Minimal Access Surgery http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Donatelli, Gianfranco
Dhumane, Parag
Perretta, Silvana
Dallemagne, Bernard
Vix, Michele
Mutter, Didier
Dritsas, Stavros
Doffoel, Michel
Marescaux, Jacques
Endoscopic placement of fully covered self expanding metal stents for management of post-operative foregut leaks
title Endoscopic placement of fully covered self expanding metal stents for management of post-operative foregut leaks
title_full Endoscopic placement of fully covered self expanding metal stents for management of post-operative foregut leaks
title_fullStr Endoscopic placement of fully covered self expanding metal stents for management of post-operative foregut leaks
title_full_unstemmed Endoscopic placement of fully covered self expanding metal stents for management of post-operative foregut leaks
title_short Endoscopic placement of fully covered self expanding metal stents for management of post-operative foregut leaks
title_sort endoscopic placement of fully covered self expanding metal stents for management of post-operative foregut leaks
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3523447/
https://www.ncbi.nlm.nih.gov/pubmed/23248437
http://dx.doi.org/10.4103/0972-9941.103109
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