Endoscopic management of acute esophageal dissection by using a covered, self-expanding metal stent (with video)

Renteln, Daniel von; Walz, Bastian; Riecken, Bettina; Kayser, T; Caca, Karel

doi:10.1016/j.gie.2008.04.038

Cited by 5 publications

(4 citation statements)

References 13 publications

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“…Conservative medical treatment is usually adequate, and surgery is reserved for severe cases complicated by esophageal perforation . When conservative management fails, endoscopic therapies, such as the application of hemoclips, metallic stenting, or transaction, have been tried with success . In this case, we performed an endoscopic transection of the septum between the true and false lumens to avoid food retention in the false lumen and to facilitate oral intake.…”

Section: Discussionmentioning

confidence: 99%

Spontaneous intramural esophageal dissection preceded by intramural esophageal hematoma: Report of a case study

Wang

Tseng

Lee

et al. 2019

Adv in Digestive Medicine

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Spontaneous intramural esophageal dissection (IED) is a rare disorder characterized by acute symptoms, including chest pain, odynophagia, dysphagia, or hematemesis and remarkable endoscopic or radiographic findings. The pathophysiology is complex and remains poorly understood. Here, we report a 63‐year‐old woman who presented with progressive odynophagia, dysphagia, and weight loss. We diagnosed spontaneous IED with false lumen formation extending to the stomach using ultra‐thin upper endoscopy and water‐soluble contrast esophagogram. Comparing the patient's chronological computed tomographic images before and after symptom onset, we found that spontaneous IED was preceded by an intramural esophageal hematoma. Her symptoms persisted after 3 weeks of conservative treatment. Therefore, combined modalities of endoscopic transection and tissue glue application were given, and her symptoms improved gradually.

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Section: Discussionmentioning

confidence: 99%

Spontaneous intramural esophageal dissection preceded by intramural esophageal hematoma: Report of a case study

Wang

Tseng

Lee

et al. 2019

Adv in Digestive Medicine

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“…These stents are designed for medical application by computer aided three-dimensional interactive application (Catia). It is noteworthy that these designs are prepared on the basis of previously presented models, articles and clinical reports [1][2].…”

Section: Geometric Modelsmentioning

confidence: 99%

“…These days, gastrointestinal disease is a main cause of death [1]. Esophageal cancer is a worldwide source of gastrointestinal malignancies [1][2]. Stent placement has been a major approach to treat gastrointestinal diseases like esophageal malignancy during past decade.…”

Section: Introductionmentioning

confidence: 99%

Effect of Material Properties on the Mechanical Performance of Nitinol Esophageal Stent: Finite Element Analysis

Nematzadeh¹,

Sadrnezhaad

Kokabi

et al. 2013

MSF

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Stent placement has been a main approach to treat gastrointestinal diseases during past decade. Nitinol superelastic stents have been considered as a solution to such difficulties as restenosis after implantation, low twisting ability, inadequate radial mechanical strength and inappropriate dynamic behaviors associated with the ducts. In this paper, effects of Aftemperatures on mechanical performance of z-shaped Nitinol wire stent under crimping test for clinical applications are investigated by finite element simulation. Having 60% crimping and high radial resistive strength, favorable superelastic behaviors are attained at Aftemperature of 22°C. The performance of the stent is seen to be drastically different with a mere change of 1° in the segments angle.

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“…Even ingestion of potentially harmful objects such as razor blades seldom leads to severe complications [3]. New stent devices offer a safe and effective treatment option for acute and refractory variceal bleeding [4,5] and severe injuries of the gastrointestinal tract [6]. An aortoesophageal fistula is a rare complication of swallowing a foreign body, typically fish or chicken bones [7].…”

mentioning

confidence: 99%

Placement of covered self-expanding metal stent to treat razor blade-induced esophageal hemorrhage

Kaya

Lenz²,

Lebiedz³

et al. 2010

Endoscopy

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Endoscopic management of acute esophageal dissection by using a covered, self-expanding metal stent (with video)

Cited by 5 publications

References 13 publications

Spontaneous intramural esophageal dissection preceded by intramural esophageal hematoma: Report of a case study

Spontaneous intramural esophageal dissection preceded by intramural esophageal hematoma: Report of a case study

Effect of Material Properties on the Mechanical Performance of Nitinol Esophageal Stent: Finite Element Analysis

Placement of covered self-expanding metal stent to treat razor blade-induced esophageal hemorrhage

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