Use of self-expanding metal stents for difficult variceal bleed

Goenka, Mahesh Kumar; Goenka, Usha; Tiwary, Indrajeet Kumar; Rai, Vijay

doi:10.1007/s12664-017-0800-2

Cited by 6 publications

(5 citation statements)

References 25 publications

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“…Re-bleeding was seen in one of the patient and mean duration of stent removal was 17.5 days. 25 Figure 4 shows a SX-ELLA Danis stent placed in the esophagus for refractory variceal bleed.…”

Section: Self Expanding Metal Stentsmentioning

confidence: 99%

Management of Refractory Variceal Bleed in Cirrhosis

Rodge

Goenka

2022

Journal of Clinical and Experimental Hepatology

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This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

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“…Re-bleeding was seen in one of the patient and mean duration of stent removal was 17.5 days. 25 Figure 4 shows a SX-ELLA Danis stent placed in the esophagus for refractory variceal bleed.…”

Section: Self Expanding Metal Stentsmentioning

confidence: 99%

Management of Refractory Variceal Bleed in Cirrhosis

Rodge

Goenka

2022

Journal of Clinical and Experimental Hepatology

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“…SEMS are metal tubes that are placed endoscopically into the esophagus over a guidewire to tamponade variceal bleeding. 39 The SEMS can be left in place for 14 days and can often be placed without fluoroscopic guidance. Over the last 5-10 years, studies have shown high rates of success and low rates of rebleeding associated with SEMS.…”

Section: Salvage Therapies For Esophageal Variceal Bleedingmentioning

confidence: 99%

Portal Hypertension and Current Endoscopic Management

Robbins

Mujumdar

Tholey

2022

Digestive Disease Interventions

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Portal hypertension is a difficult to treat sequelae of end stage of liver disease, and is associated with a variety of complications. Notably, it can lead to significant gastrointestinal bleeding, which carries a high risk of mortality. Sources of portal hypertensive bleeding include esophageal and gastric varices, portal hypertensive gastropathy and ectopic varices. Fortunately, endoscopic techniques are effective in both prevention and management of acute bleeding, and their application and expansion has led to improved outcomes. Endoscopy plays a pivotal role as it allows for direct visualization and diagnosis as well as immediate intervention. There are several endoscopic techniques available for the treatment of esophageal varices including band ligation, glue therapy and sclerotherapy. There are, however, gray areas within the management of portal hypertensive bleeding such as the management of portal hypertensive gastropathy and gastric variceal bleeding, both of which can be more challenging to treat endoscopically. Thus, there is growing interest regarding how novel advanced therapeutic techniques can address these areas with a focus on endoscopic ultrasound guided therapies. This article will review both traditional and novel endoscopic techniques used in the management and prevention of portal hypertensive associated bleeding.

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“…Besides, there are cost issues and a definite risk of encephalopathy in the presence of advanced liver dysfunction [22]. Covered self-expanding metal stents (SEMS) with distinctive designs are used to produce an effective tamponade, controlling persistent variceal bleeding and ulcer bleeding following VBL [23,24].…”

Section: Tamponade Using Balloons or Metal Stentsmentioning

confidence: 99%

“…The correct positioning of the stent in the distal half of the esophagus is established by inflating the gastric balloon and retracting the catheter assembly until the gastric balloon hits against the cardia. The stent is then released, and the gastric balloon is deflated, and the assembly catheter is removed [24]. These stents act by causing a steady mechanical compression causing an immediate tamponade at the variceal bleed site.…”

Section: Tamponade Using Balloons or Metal Stentsmentioning

confidence: 99%

Endoscopy in Management of Portal Hypertension

Shah¹,

Goenka²,

Goenka³

2021

Portal Hypertension - Recent Advances

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Portal hypertension (PH) is a serious consequence of several disease states affecting prehepatic, intrahepatic, or posthepatic portal circulation. Backpressure caused by PH transmits through the collaterals to form varices at various sites. PH also leads to hyperdynamic congestion and altered gastrointestinal mucosal immune response, resulting in portal hypertensive gastropathy (PHG), portal hypertensive enteropathy (PHE), and portal colopathy (PC). These PH associated phenomena may lead to torrential life-threatening bleed or chronic blood loss leading to debilitating chronic anemia. Endoscopy plays a pivotal role in the management of these patients both for diagnostic and therapeutic purpose. The choice of therapeutic strategy depends on many factors: severity of the disease, patient’s clinical performance, and whether it is done as an emergency or as a prophylactic approach. In this chapter, we evaluate the endoscopic management of patients with the gastrointestinal complications of PH.

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Use of self-expanding metal stents for difficult variceal bleed

Abstract: Sx-Ella Danis stent is a useful modality to control persistent variceal bleeding as well VBL-related ulcer bleeding.

Cited by 6 publications

References 25 publications

Management of Refractory Variceal Bleed in Cirrhosis

Management of Refractory Variceal Bleed in Cirrhosis

Portal Hypertension and Current Endoscopic Management

Endoscopy in Management of Portal Hypertension

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