Document Detail


Esophageal stents in malignant and benign disorders.
MedLine Citation:
PMID:  23463153     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Endoscopic stent placement is an effective palliative treatment for malignant dysphagia and fistula, leading to rapid symptom relief. However, recurrent dysphagia and other stent-related complications are common, for which reason continuously new design modifications are implemented. Although some of these changes facilitate stent placement, complications remain and occur at similar rates. Recently, stents have also been used in benign esophageal disorders. Covered stents have the ability to effectively seal esophageal perforations and leaks, reducing the need for invasive surgery. This benefit does not pertain to patients with refractory benign esophageal strictures, in whom stents have limited long-term effect and are associated with a high complication rate. The initial results of fully covered metal stents in refractory esophageal variceal bleeding are encouraging, but their definite role remains to be further elucidated. This review provides an overview of indications, techniques, and management of complications of stents in malignant and benign esophageal disease.
Authors:
P Didden; M C W Spaander; M J Bruno; E J Kuipers
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Current gastroenterology reports     Volume:  15     ISSN:  1534-312X     ISO Abbreviation:  Curr Gastroenterol Rep     Publication Date:  2013 Apr 
Date Detail:
Created Date:  2013-03-06     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100888896     Medline TA:  Curr Gastroenterol Rep     Country:  United States    
Other Details:
Languages:  eng     Pagination:  319     Citation Subset:  IM    
Affiliation:
Department of Gastroenterology and Hepatology, Erasmus University Medical Center, Rotterdam, 's Gravendijkwal 230, 3015 CE, Rotterdam, The Netherlands, p.didden@erasmusmc.nl.
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