The role of clips in preventing migration of fully covered metallic esophageal stents: a pilot comparative study

Vanbiervliet, Geoffroy; Filippi, Jérôme; Karimdjee, Babou Soilihi; Vénissac, Nicolas; Iannelli, Antonio; Rahili, Amine; Benizri, Emmanuel; Pop, Dániel; Staccini, Pascal; Tran, Albert; Schneider, S.; Mouroux, Jérôme; Gugenheim, Jean; Benchimol, Daniel; Hébuterne, Xavier

doi:10.1007/s00464-011-1827-6

Cited by 137 publications

(85 citation statements)

References 27 publications

(33 reference statements)

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“…33 Additional strategies to prevent migration include clipping the proximal end of the stent to the mucosa. 68 Recent studies have favored endoscopic suturing to secure the stent to mucosa (Fig. 2).…”

Section: Endoluminal Stentsmentioning

confidence: 99%

Endoscopic management of postoperative fistulas and leaks

Devaraj

Gavini

2017

Int J Gastrointest Interv

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Postoperative complications from gastrointestinal surgery can be associated with significant morbidity, and mortality especially if repeat surgery is needed to address these complications. There are wide array of endoscopic interventions and tools available for management of these complications using minimally invasive methods thus decreasing length of hospitalization, morbidity and leading to better patient outcomes. With the advent new tools like Overstitch device, Over the Scope Clip, fibrin glue, etc., these complications can be managed successfully with minimal morbidity. We provide an indepth discussion about available endoscopic options and their application in various scenarios in our article. Endoscopist should be familiar with these complications and endoscopic tools to promote use of these tools and techniques to achieve successful management of these complex conditions.

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Section: Endoluminal Stentsmentioning

confidence: 99%

Endoscopic management of postoperative fistulas and leaks

Devaraj

Gavini

2017

Int J Gastrointest Interv

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“…H. Kato и соавт. [8] сооб-щили результаты исследования с участием 44 паци-ентов, что после фиксации верхнего конца стента к слизистой оболочке пищевода клипсами снизилось число случаев миграции полностью покрытых стен-тов с 34 до 13% [9].…”

Section: рис 2 выполнение эндоскопического стентирования пищеводаunclassified

The peculiarities of stenting in the patients with cardioesophageal cancer

Costamagna¹,

Gusev²,

Burdyukov³

et al. 2015

Dok. gastroenterol.

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Заболеваемость злокачественными новообразо-ваниями пищеводно-желудочного перехода в запад-ных странах резко увеличилась за последние 30 лет. Пятилетняя выживаемость пациентов с опухолью именно пищеводно-желудочного перехода состав-ляет менее 20% [1,2]. Тяжелым и нередко фаталь-ным осложнением этого заболевания является дис-фагия. Поэтому больные, страдающие выраженной степенью дисфагии, должны в неотложном порядке быть подвергнуты паллиативному лечению. Для проведения симптоматической терапии неопера-бельным пациентам при опухолевых стенозах пище-вода и зоны кардии выполняется установка само-раскрывающихся металлических стентов.По сравнению со стандартным методом стенти-рования опухолевого стеноза проксимального отде-ла пищевода, установка стента в зону пищеводно-желудочного перехода имеет некоторые дополни-тельные особенности и, следовательно, несет в себе более высокий риск развития осложнений [3].В этой статье представлен клинический случай стентирования зоны пищеводно-желудочного пе-рехода во время эндоскопического курса, прове-денного в рамках 15-й Международной конферен-

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“…Kato et al [43] reported no migration in nine patients with stent fixation with clips (three with strictures and six with digestive-respiratory fistula). In a series of 44 patients, fixation of the upper flare end of the stent to the esophageal mucosa with clips reduced migration rates of fully covered stents from 34% to 13% (3 out of 23 patients) [44] . Recently, a small pilot study described successful stent fixation using an overstitch endoscopic suturing device (Apollo Endosurgery, Inc., Austin, TX, United States).…”

mentioning

confidence: 97%

Endoscopic management and prevention of migrated esophageal stents

Martins¹,

Retes²,

Medrado³

et al. 2014

WJGE

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The use of self-expandable metallic stents has increased recently to palliate inoperable esophageal neoplasia and also in the management of benign strictures. Migration is one of the most common complications after stent placement and the endoscopist should be able to recognize and manage this situation. Several techniques for managing migrated stents have been described, as well as new techniques for preventing stent migration. Most stents have a "lasso" at the upper flange which facilitates stent repositioning or removal. An overtube, endoloop and large polypectomy snare may be useful for the retrieval of stents migrated into the stomach. External fixation of the stent with Shim's technique is efficient in preventing stent migration. Suturing the stent to the esophageal wall, new stent designs with larger flanges and double-layered stents are promising techniques to prevent stent migration but they warrant validation in a larger cohort of patients.© 2014 Baishideng Publishing Group Co., Limited. All rights reserved.Key words: Endoscopy; Stents; Esophageal cancer; Benign strictures; Complications Core tip: Migration of self-expandable esophageal stents occurs in up to 36% of cases. The lasso system available in most stents provides a safe way to remove or reposition the stent while it is still in the esophagus. However, when the stent migrates into the stomach, other techniques are needed to guarantee a safer retrieval. The use of clipping, suturing or external fixation should be considered for stents at high risk for migration.Martins BC, Retes FA, Medrado BF, Lima MS, Pennacchi CMPS, Kawaguti FS, Safatle-Ribeiro AV, Uemura RS, MalufFilho F. Endoscopic management and prevention of migrated esophageal stents. World J Gastrointest Endosc 2014; 6(2): 49-54 Available from:

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The role of clips in preventing migration of fully covered metallic esophageal stents: a pilot comparative study

Abstract: Anchoring of the upper flare of the fully covered SEMS with the endoscopic clip is feasible and significantly reduces stent migration.

Cited by 137 publications

References 27 publications

Endoscopic management of postoperative fistulas and leaks

Endoscopic management of postoperative fistulas and leaks

The peculiarities of stenting in the patients with cardioesophageal cancer

Endoscopic management and prevention of migrated esophageal stents

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