Partially covered esophageal stents cause bowel injury when used to treat complications of bariatric surgery

Wei, Wei; Ramaswamy, Archana; Torre, Roger de la; Miedema, Brent W.

doi:10.1007/s00464-012-2406-1

Cited by 26 publications

(17 citation statements)

References 9 publications

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“…Use of PCSEMS in the treatment of benign diseases is controversial due to the adverse events described during their removal [3,9,17,21,[26][27][28][29][30]. These adverse events may include: hemorrhage, granulation or hyperplasic tissue ingrowth, obstruction, stent fracture, penetration, perforation, avulsion, fistula formation (i.e., tracheoesophageal, esophagoaortic, pericardioesophageal), and epidural abscess formation [1,3,11,17,19,28,[31][32][33][34][35][36][37].…”

Section: Discussionmentioning

confidence: 99%

Stent-in-stent technique for removal of embedded partially covered self-expanding metal stents

et al. 2015

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Section: Discussionmentioning

confidence: 99%

Stent-in-stent technique for removal of embedded partially covered self-expanding metal stents

et al. 2015

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“…However, the number of subjects and studies has been small, and only small case series have been reported up to now. The clinical success rate of stent insertion varies widely, ranging from 12.5% to 100% [ 58 , 59 ]. It is necessary to evaluate the clinical feasibility and effectiveness of stent insertion for the treatment of post-bariatric surgery stricture by accumulating more clinical experiences with greater numbers of subjects.…”

Section: Stricturementioning

confidence: 99%

Endoscopic Approach for Major Complications of Bariatric Surgery

Joo

2017

Clin Endosc

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As lifestyle and diet patterns have become westernized in East Asia, the prevalence of obesity has rapidly increased. Bariatric surgeries, such as Roux-en-Y gastric bypass (RYGB), sleeve gastrectomy (SG), and laparoscopic adjustable gastric banding (LAGB), are considered the first-line treatment option in patients with severe obesity. However, postoperative complications have increased and the proper management of these complications, including the use of endoscopic procedures, has become important. The most serious complications, such as leaks and fistulas, can be treated with endoscopic stent placement and injection of fibrin glue, and a novel full-thickness closure over-the-scope clip (OTSC) has been used for treatment of postoperative leaks. Stricture at the gastrojejunal (GJ) anastomosis site after RYGB or incisura angularis in SG can be managed using stents or endoscopic balloon dilation. Dilation of the GJ anastomosis or gastric pouch may lead to failure of weight loss, and the use of endoscopic sclerotherapy, novel endoscopic suturing devices, and OTSCs have been attempted. Intragastric migration of the gastric band can be successfully treated using various endoscopic tools. Endoscopy plays a pivotal role in the management of post-bariatric complications, and close cooperation between endoscopists and bariatric surgeons may further increase the success rate of endoscopic procedures.

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“…A common alternative is the removal of the ring or band through a gastrotomy done by laparoscopy [ 4 ]. However, recently some small studies and case series, using the replacement of a stent at the stricture, has been shown promising [ 4 , 6 , 7 , 10 ]. The success rate of endoscopic removal of bands that have been almost intragastrically migrated by the use of tools as endoscopic scissors, laser or gastric banding cutters have been reported ranging between 56 and 100%.…”

Section: Discussionmentioning

confidence: 99%

A nutrition problem solved by a two-step endoscopic removal of a non-adjustable gastric band

Johansen

Norum

Engebretsen

et al. 2018

Journal of Surgical Case Reports

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Bariatric surgery is an effective approach for weight loss and short-term improvement in metabolic disorders. Stenosis is a common complication of gastric banding. Balloon dilatation or gastrotomy has been employed in this setting. Few studies have indicated endoscopic removal of the band a feasible procedure. We present a 60-year-old female who underwent gastric banding in 1985 and suffered from late stenosis and malnutrition. Endoscopy revealed a severe stenosis. A two-step procedure was performed. Initially a coated stent was placed into the stenosis to achieve pressure necrosis. Two weeks later, the stent was removed and the band was removed endoscopically. The procedure was performed without any complications. The patient was discharged the next day. A follow-up after 2 months revealed no problems with stenosis or malnutrition. The procedure was a safe, efficient and convenient way of handling late stenosis after gastric banding.

show abstract

Partially covered esophageal stents cause bowel injury when used to treat complications of bariatric surgery

Cited by 26 publications

References 9 publications

Stent-in-stent technique for removal of embedded partially covered self-expanding metal stents

Stent-in-stent technique for removal of embedded partially covered self-expanding metal stents

Endoscopic Approach for Major Complications of Bariatric Surgery

A nutrition problem solved by a two-step endoscopic removal of a non-adjustable gastric band

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