Esophageal Stents: Indications and Placement Techniques

Ross, Andrew; Kozarek, Richard A.

doi:10.1007/978-1-4614-3746-8_9

Cited by 6 publications

(6 citation statements)

References 72 publications

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“…14,15 Recent international consensus guidelines have recommended a combined endoscopic and fluoroscopic approach for placement of the colonic stents 16,17 and the value of the endoscope is beyond question for duodenal stenting. However, it is important to understand that the benefit of using an endoscope lies primarily in straightening out tortuous anatomy and providing an overtube for a catheter and guide wire rather than in the ability of identifying the stricture visually.…”

Section: Methods Of Stent Placementmentioning

confidence: 99%

“…An amazingly large number of different stent designs are available for the esophagus, 15 reflecting the fact that there is no clear understanding what properties make the ideal stent. The overwhelming majority is constructed from braiding a nitinol wire into a tubular structure with flared or "dog bone" shaped ends to achieve fixation by mechanical friction.…”

Section: Stent Choicementioning

confidence: 99%

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Esophageal stents: Beyond the simple stricture

Edwards¹,

Laasch²

2015

Int J Gastrointest Interv

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Advances in chemo-radiotherapy and cancer surgery are changing the landscape of esophageal stent insertion. Where previously patients received stents for end-stage esophageal carcinoma with a poor prognosis, long-term survival is beginning to become the norm. In addition more patients are undergoing radical surgery and consequently more patients are presenting with disease relapse in altered anatomy. Furthermore, patients with extraesophageal cancer can require stent insertion, but their underlying disease may run a different course from esophageal cancer. We illustrate the challenges for stent performance, material longevity and forward thinking of the operator presented by the change in disease spectrum and behavior.

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Section: Methods Of Stent Placementmentioning

confidence: 99%

Section: Stent Choicementioning

confidence: 99%

Esophageal stents: Beyond the simple stricture

Edwards¹,

Laasch²

2015

Int J Gastrointest Interv

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“…The use of fluoroscopy should be strongly considered when dilating malignant esophageal strictures. After the marking of the area to be stented, for fluoroscopic visualization, either using external radiopaque markers, endoscopic clips or by injecting contrast into the submucosa the stent is advanced over the wire guide [9].…”

Section: Discussionmentioning

confidence: 99%

“…In some cases, the retrograde passage of a small caliber endoscope through a gastrostomy tract and the use of ERCP accessories may be required to go through impassable strictures [9,11].…”

Section: Discussionmentioning

confidence: 99%

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Treatment of Malignant Esophageal Fistulas: Fluoroscopic Placement of Esophageal SEMS, Endoscopically-assisted through Surgical Gastrostomy. A Case Report

Constantinescu

Șandru

Ilie

et al. 2016

JGLD

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Progressive esophageal carcinoma can infiltrate the surrounding tissues with subsequent development of a fistula, most commonly between the esophagus and the respiratory tract. The endoscopic placement of covered self-expanding metallic stents (SEMS) is the treatment of choice for malignant esophageal fistulas and should be performed immediately, as a fistula formation represents a potential life-threatening complication. We report the case of a 64-year-old male diagnosed with esophageal carcinoma, who had a 20Fr surgical gastrostomy tube inserted before chemo- and radiotherapy and was referred to our department for complete dysphagia, cough after swallowing and fever. The attempt to insert a SEMS using the classic endoscopic procedure failed. Then, a fully covered stent was inserted, as the 0.035” guide wire was passed through stenosis retrogradely by using an Olympus Exera II GIF-N180 (4.9 mm in diameter endoscope) via surgical gastrostomy, with a good outcome for the patient. The retrograde approach via gastrostomy under endoscopic/fluoroscopic guidance with the placement of a fully covered SEMS proved to be the technique of choice, in a patient with malignant esophageal fistula in whom other methods of treatment were not feasible. Abbreviations: ERCP: endoscopic retrograde cholangio-pancreatography; GI: gastrointestinal; SEMS: self-expandable metallic stents.

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Gastrointestinal Dilation and Stent Placement

Irani¹,

Kozarek²

2015

Yamada' S Textbook of Gastroenterology

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Esophageal Stents: Indications and Placement Techniques

Cited by 6 publications

References 72 publications

Esophageal stents: Beyond the simple stricture

Esophageal stents: Beyond the simple stricture

Treatment of Malignant Esophageal Fistulas: Fluoroscopic Placement of Esophageal SEMS, Endoscopically-assisted through Surgical Gastrostomy. A Case Report

Gastrointestinal Dilation and Stent Placement

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