Abstract | OBJECTIVE: BACKGROUND: METHODS: RESULTS: A total of 27 case series with 340 patients were included. Technical and clinical success rates of stenting were 91% and 81%, respectively. Stent migration rates were significantly higher with plastic stents than with metallic stents (40/148 vs 13/117 patients, respectively; P = 0.001). Patients with metallic stents had significantly higher incidence of postprocedure strictures (P = 0.006). However, patients with plastic stents needed significantly higher number of reinterventions (P = 0.005). Mean postprocedure hospital stay varied from 8 days to 51 days. There was no significant difference in the primary or secondary outcomes when stenting was performed for anastomotic leaks or perforations. CONCLUSIONS: Endoscopic management of esophageal anastomotic leaks and perforations with the use of esophageal stents is technically feasible. It seems to be safe and effective when performed along with mediastinal or pleural drainage. Esophageal stent can, therefore, be considered as a treatment option in the management of patients who present early after esophageal perforation or anastomotic leak with limited mediastinal or pleural contamination.
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Authors | Bobby V M Dasari, David Neely, Andrew Kennedy, Gary Spence, Paul Rice, Eamon Mackle, Emmanuel Epanomeritakis |
Journal | Annals of surgery
(Ann Surg)
Vol. 259
Issue 5
Pg. 852-60
(May 2014)
ISSN: 1528-1140 [Electronic] United States |
PMID | 24509201
(Publication Type: Journal Article, Review)
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Topics |
- Anastomosis, Surgical
(adverse effects)
- Anastomotic Leak
(epidemiology, surgery)
- Esophageal Perforation
(mortality, surgery)
- Esophagoscopy
(methods)
- Esophagus
(surgery)
- Global Health
- Humans
- Incidence
- Mediastinal Diseases
(mortality, surgery)
- Outcome Assessment, Health Care
- Prosthesis Design
- Reoperation
- Stents
(standards)
- Survival Rate
(trends)
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