| Safety of endoscopic removal of self-expandable stents after treatment of benign esophageal diseases. | |
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MedLine Citation:
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PMID: 23261092 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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BACKGROUND: Temporary placement of self-expandable stents has been increasingly used for the management of benign esophageal diseases. OBJECTIVE: To evaluate the safety of endoscopic removal of esophageal self-expandable stents placed for the treatment of benign esophageal diseases. DESIGN: Multicenter retrospective study. SETTING: Six tertiary care centers in the United States and Europe. PATIENTS: A total of 214 patients with benign esophageal diseases undergoing endoscopic stent removal. INTERVENTION: Endoscopic stent removal. MAIN OUTCOME MEASUREMENTS: Endoscopic techniques for stent removal, time to stent removal, and adverse events related to stent removal. RESULTS: A total of 214 patients underwent a total of 329 stent extractions. Stents were mainly placed for refractory strictures (49.2%) and fistulae (49.8%). Of the removed stents, 52% were fully covered self-expandable metal stents (FCSEMSs), 28.6% were partially covered self-expandable metal stents (PCSEMSs), and 19.5% were self-expandable plastic stents. A total of 35 (10.6%) procedure-related adverse events were reported, including 7 (2.1%) major adverse events. Multivariate analysis revealed that use of PCSEMSs (P < .001) was a risk factor for adverse events during stent removal. Favorable factors for successful stent removal were FCSEMSs (P ≤ .012) and stent migration (P = .010). No significant associations were found for stent indwelling time (P = .145) and stent embedding (P = .194). LIMITATIONS: Retrospective analysis, only tertiary care centers. CONCLUSIONS: With an acceptable major adverse event rate of 2.1%, esophageal stent removal in the setting of benign disease was found to be a safe and feasible procedure. FCSEMSs were more successfully removed than self-expandable plastic stents and PCSEMSs. Adverse events caused by stent removal were not time dependent. |
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Authors:
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Emo E van Halsema; Louis M Wong Kee Song; Todd H Baron; Peter D Siersema; Frank P Vleggaar; Gregory G Ginsberg; Pari M Shah; David E Fleischer; Shiva K Ratuapli; Paul Fockens; Marcel G W Dijkgraaf; Giacomo Rando; Alessandro Repici; Jeanin E van Hooft |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Gastrointestinal endoscopy Volume: 77 ISSN: 1097-6779 ISO Abbreviation: Gastrointest. Endosc. Publication Date: 2013 Jan |
Date Detail:
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Created Date: 2012-12-24 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0010505 Medline TA: Gastrointest Endosc Country: United States |
Other Details:
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Languages: eng Pagination: 18-28 Citation Subset: IM |
Copyright Information:
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Copyright © 2013 American Society for Gastrointestinal Endoscopy. Published by Mosby, Inc. All rights reserved. |
Affiliation:
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Department of Gastroenterology and Hepatology, Academic Medical Center, Amsterdam, the Netherlands. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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