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Salvage therapy of bleeding esophageal tumor by fully covered self-expandable metallic stent: A case report

The role of self-expandable metallic stents is gradually evolving for a diverse group of benign and malignant gastrointestinal tract problems, with luminal obstruction being by far the most common. Although its role in refractory variceal bleeding is well established, it has rarely been tried for tu...

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Autores principales: Bilal, Sundus, Saeed, Saad Muhammad, Siddique, Muhammad Zeeshan, Saqib, Muhammad, Mehmood, Shafqat, Yusuf, Muhammed Aasim
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7925943/
https://www.ncbi.nlm.nih.gov/pubmed/33717487
http://dx.doi.org/10.1177/2050313X21997198
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author Bilal, Sundus
Saeed, Saad Muhammad
Siddique, Muhammad Zeeshan
Saqib, Muhammad
Mehmood, Shafqat
Yusuf, Muhammed Aasim
author_facet Bilal, Sundus
Saeed, Saad Muhammad
Siddique, Muhammad Zeeshan
Saqib, Muhammad
Mehmood, Shafqat
Yusuf, Muhammed Aasim
author_sort Bilal, Sundus
collection PubMed
description The role of self-expandable metallic stents is gradually evolving for a diverse group of benign and malignant gastrointestinal tract problems, with luminal obstruction being by far the most common. Although its role in refractory variceal bleeding is well established, it has rarely been tried for tumor-related bleeding, with only a few case reports in this regard. We share our experience of successfully controlling esophageal tumor–related bleeding with the use of a fully covered self-expandable metallic stent. A 58-year-old woman with irresectable distal esophageal cancer, presented with hematemesis. Esophago-gastro-duodenoscopy revealed an obstructing esophageal tumor with diffuse oozing of blood. This was unamenable to local injection of adrenaline and hemospray; therefore, a temporary self-expandable metallic stent was parked to create a tamponade effect. This successfully stopped bleeding and the patient remained asymptomatic till discharge. However, she was lost to follow-up, and therefore, the stent was removed after a period of 5 months instead of 2 weeks.
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spelling pubmed-79259432021-03-11 Salvage therapy of bleeding esophageal tumor by fully covered self-expandable metallic stent: A case report Bilal, Sundus Saeed, Saad Muhammad Siddique, Muhammad Zeeshan Saqib, Muhammad Mehmood, Shafqat Yusuf, Muhammed Aasim SAGE Open Med Case Rep Case Report The role of self-expandable metallic stents is gradually evolving for a diverse group of benign and malignant gastrointestinal tract problems, with luminal obstruction being by far the most common. Although its role in refractory variceal bleeding is well established, it has rarely been tried for tumor-related bleeding, with only a few case reports in this regard. We share our experience of successfully controlling esophageal tumor–related bleeding with the use of a fully covered self-expandable metallic stent. A 58-year-old woman with irresectable distal esophageal cancer, presented with hematemesis. Esophago-gastro-duodenoscopy revealed an obstructing esophageal tumor with diffuse oozing of blood. This was unamenable to local injection of adrenaline and hemospray; therefore, a temporary self-expandable metallic stent was parked to create a tamponade effect. This successfully stopped bleeding and the patient remained asymptomatic till discharge. However, she was lost to follow-up, and therefore, the stent was removed after a period of 5 months instead of 2 weeks. SAGE Publications 2021-02-24 /pmc/articles/PMC7925943/ /pubmed/33717487 http://dx.doi.org/10.1177/2050313X21997198 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Case Report
Bilal, Sundus
Saeed, Saad Muhammad
Siddique, Muhammad Zeeshan
Saqib, Muhammad
Mehmood, Shafqat
Yusuf, Muhammed Aasim
Salvage therapy of bleeding esophageal tumor by fully covered self-expandable metallic stent: A case report
title Salvage therapy of bleeding esophageal tumor by fully covered self-expandable metallic stent: A case report
title_full Salvage therapy of bleeding esophageal tumor by fully covered self-expandable metallic stent: A case report
title_fullStr Salvage therapy of bleeding esophageal tumor by fully covered self-expandable metallic stent: A case report
title_full_unstemmed Salvage therapy of bleeding esophageal tumor by fully covered self-expandable metallic stent: A case report
title_short Salvage therapy of bleeding esophageal tumor by fully covered self-expandable metallic stent: A case report
title_sort salvage therapy of bleeding esophageal tumor by fully covered self-expandable metallic stent: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7925943/
https://www.ncbi.nlm.nih.gov/pubmed/33717487
http://dx.doi.org/10.1177/2050313X21997198
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