A removable covered self-expanding metal stent for the management of Sengstaken-Blakemore tube–induced esophageal tear and variceal hemorrhage

Matull, Wolf-Rudiger; Cross, Timothy J.S.; Yu, Dominic; Winslet, Marc C.

doi:10.1016/j.gie.2008.03.1078

Cited by 15 publications

(20 citation statements)

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“…4) and evidence of mediastinal air on CT in the other. 12 Six of 9 successfully stented patients survived the acute bleeding episode and had the stents successfully removed at a median of 9 days later (range 6-14 days). In 1 patient, the stent was removed under fluoroscopic control (Fig.…”

Section: Resultsmentioning

confidence: 98%

A self-expanding metal stent for complicated variceal hemorrhage: experience at a single center

Wright

Lewis

Hogan

et al. 2010

Gastrointestinal Endoscopy

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103

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Section: Resultsmentioning

confidence: 98%

A self-expanding metal stent for complicated variceal hemorrhage: experience at a single center

Wright

Lewis

Hogan

et al. 2010

Gastrointestinal Endoscopy

Self Cite

118

103

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“…In the first reported series by Hubmann et al [14], 1 patient was treated with an SEMS after sustaining an esophageal perforation following BT insertion; the patient subsequently underwent TIPS and survived. In our own experience of 2 patients with this complication, treatment with the SX-ELLA Danis stent was highly effective at preventing further bleeding and mediastinitis [16,22]. Both patients subsequently underwent TIPS and went on to survive in the long term.…”

Section: Use Of Semss In Complications Of Treatmentmentioning

confidence: 86%

Endoprosthetics for bleeding esophageal varices

Dannhorn

O’Beirne

2014

Techniques in Gastrointestinal Endoscopy

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“…описали слу-чай использования стента Даниша для местного лечения комбинации кровотечения из ВРВ пи-щевода и разрыва пищевода после использования зонда-обтуратора Сенгстакена-Блэкмора [30].…”

Section: противопоказания к применению стентаunclassified

Pros and cons of Danis stent application in esophageal bleeding

Anisimov

Юрьевич²,

Loginov³

et al. 2016

Kazan Med J

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Aim. A critical analysis of world clinical experience of endoscopic hemostasis with self-expanding nitinol Danis stents application in acute bleeding from esophageal varices.Methods. Literature data of last 10 years about self-expanding nitinol Danis stents application at the peak of esophageal bleeding or in high risk of its recurrence were analyzed.Results. The advantages of Danis stent include minimal injury, good tolerance by the patient, providing physiological drainage of saliva and the possibility of fluid and food intake through the mouth, possibility of a repeated endoscopic inspection of the esophagus and stomach after the application of the stent, reducing the risk of aspiration pneumonia, the impossibility of removal or displacement by the patient in agitation. According to most authors, Danis stent allows saving time to get ready for safe transjugular intrahepatic portocaval shunt (TIPS), surgical intervention or liver transplantation. This time should be used for performing all procedures necessary to stabilize the patient’s condition and clarify the nature of the existing pathology. Disadvantages include high risk of migration from the esophagus into the stomach with loss of its plugging function, limitation for treatment of only esophageal varices, development of small erosions or ulcers on the mucous membrane of the esophagus after removal of the stent. When Danis stent was used as a final method of treatment in patients who do not fit for TIPS or liver transplant, the mortality rate reached 50%.Conclusion. To date, it is not yet clarified whether endoscopic hemostasis with self-expanding nitinol Danis stents should be firmly used in the treatment algorithm of patients with variceal bleeding; confirmation of initial clinical results in further comparative randomized controlled trials is necessary.

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A removable covered self-expanding metal stent for the management of Sengstaken-Blakemore tube–induced esophageal tear and variceal hemorrhage

Cited by 15 publications

References 0 publications

A self-expanding metal stent for complicated variceal hemorrhage: experience at a single center

A self-expanding metal stent for complicated variceal hemorrhage: experience at a single center

Endoprosthetics for bleeding esophageal varices

Pros and cons of Danis stent application in esophageal bleeding

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