Systematic review: the role of self‐expanding plastic stents for benign oesophageal strictures

Abstract

SUMMARY BackgroundTreatment of refractory or recurrent benign oesophageal strictures is demanding and surgery may be the only available option. The role of self-expanding plastic stents (SEPS) in the treatment of these strictures is still controversial because of the conflicting results of various studies.

Efficacy and safety of biodegradable stents for refractory benign esophageal strictures: the BEST (Biodegradable Esophageal Stent) study

“…9 Recent reports have also tempered the initial enthusiasm regarding the use of SEPSs in the management of RBESs. 19 A retrospective case series of 30 patients who underwent SEPS placement for benign esophageal disorders reported a high rate (62.1%) of stent migration with a disappointingly low rate (17%) of long-term improvement after stent removal. 16 In addition, repeat stenting was required in 55% of the patients.…”

“…However, data on the efficacy of these stents in RBES patients are mixed, and a relatively high rate of stent migration has been reported. [13][14][15][16][17][18][19] Moreover, an unexpectedly high rate of SEPS-related complications has also been reported in some series. 19 Biodegradable stents have recently been developed.…”

“…[13][14][15][16][17][18][19] Moreover, an unexpectedly high rate of SEPS-related complications has also been reported in some series. 19 Biodegradable stents have recently been developed. The prolonged dilatory effect before stent absorption and the progressive stent degradation could represent a more favorable solution for RBES patients compared with SEMSs and SEPSs in RBES patients.…”

Estenose esofágica por uso de sonda nasogástrica: reflexão sobre o uso indiscriminado

“…The surgery employed did not altered the results, and the individualized indication was made for each case, depending on the stenosis level, previous surgeries and patient conditions. In refractory or recurrent cases, an option recommended by some authors is the use of self-expanding stents 17,18,24 . Pinotti et al 21 reported 12 cases of this serious complication of esophageal lesions, from which eight were probed in the postoperative stage of different types of abdominal interventions and four due to clinical diseases.…”

Gastrointestinal stenting: Current status and imaging features

“…Others authors proposed a proximal fixation of the stent on the esophageal mucosa by a clip to prevent stent migration [57]. Delayed migration could be, at least in some cases, the inevitable consequence of the dilating efficacy of the plastic stents [58]. Dysphagia is generally improved rapidly but long-term efficacy is small (between 6 to 40% at 1 year) especially for anastomotic strictures [59].…”