Endoscopic placement of fully covered self expanding metal stents for management of post-operative foregut leaks
Open Access
- 1 January 2012
- journal article
- research article
- Published by Medknow in Journal of Minimal Access Surgery
- Vol. 8 (4), 118-124
- https://doi.org/10.4103/0972-9941.103109
Abstract
Background: Fully covered self-expanding metal stent (SEMS) placement has been successfully described for the treatment of malignant and benign conditions. The aim of this study is to evaluate our experience of fully covered SEMS placement for post-operative foregut leaks. Materials and Methods: Retrospective analysis was done for indications, outcomes and complications of SEMS placed in homogeneous population of 15 patients with post-operative foregut leaks in our tertiary-care centre from December 2008 to December 2010. Stent placement and removal, clinical and radiological evidence of leak healing, migration and other complications were the main outcomes analyzed. Results: Twenty-three HANAROSTENT® SEMS were successfully placed in 14/15 patients (93%) with post-operative foregut leaks for an average duration of 28.73 days (range=1-42 days) per patient and 18.73 days per SEMS. Three (20%) patients needed to be re-stented for persistent leaks ultimately resulting in leak closure. Total 5/15 (33.33%) patients and 7/23 (30.43%) stents showed migration; 5/7 (71.42%) migrated stents could be retrieved endoscopically. There were mucosal ulceration in 2/15 (13.33%) and pain in 1/15 (6.66%) patients. Conclusions: Stenting with SEMS seems to be a feasible option as a primary care modality for patients with post-operative foregut leaks.Keywords
This publication has 32 references indexed in Scilit:
- Advances in esophageal stenting: the evolution of fully covered stents for malignant and benign diseaseAdvances in Therapy, 2010
- Diagnosis and Management of Gastric Leaks After Laparoscopic Sleeve Gastrectomy for Morbid ObesityObesity Surgery, 2009
- Treatment of Thoracic Esophageal Anastomotic Leaks and Esophageal Perforations with Endoluminal Stents: Efficacy and Current LimitationsJournal of Gastrointestinal Surgery, 2008
- Use of Polyflex stents in treatment of acute esophageal and gastric leaks after bariatric surgerySurgery for Obesity and Related Diseases, 2007
- Self-expandable metal stents to treat gastric leaksSurgery for Obesity and Related Diseases, 2006
- Self-Expanding Metal Stents for the Treatment of Intrathoracic Esophageal Anastomotic Leaks Following EsophagectomyThe American Journal of Gastroenterology, 2006
- Endoscopic treatment of thoracic esophageal anastomotic leaks by using silicone-covered, self-expanding polyester stentsGastrointestinal Endoscopy, 2005
- Anastomotic Leaks after Laparoscopic Gastric BypassObesity Surgery, 2004
- The Science of Stapling and LeaksObesity Surgery, 2004
- Roux-en-Y Gastric Bypass Leak ComplicationsArchives of Surgery, 2003