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Removable self-expanding metal stents insertion for the treatment of perforations and postoperative leaks of the esophagus

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Indian Journal of Gastroenterology Aims and scope Submit manuscript

Abstract

Background

Esophageal rupture, spontaneous or iatrogenic, is associated with significant morbidity and mortality. The current study aims at highlighting the various clinical scenarios, where esophageal fully covered self-expanding removable metal stents (FCSEMS) can be used in esophageal rupture.

Methods

In patients who underwent insertion of FCSEMS between January 2013 and June 2014, all data regarding demographics, indications, insertion, removal, and outcomes were studied retrospectively.

Results

Seven patients underwent the placement of esophageal covered SEMS. Two patients had Boerhaave syndrome, two had leak following the repair of aortic aneurysm, one had extensive esophageal injury following transesophageal echocardiography, one had carcinoma esophagus with tracheaesophageal fistula, and one had dehiscence of esophagogastric anastomosis. Stent insertion was successful in all the patients; one had stent migration which was managed endoscopically. Two patients died due to underlying illness; the rest had successful removal of stents after 8–10 weeks and good outcomes.

Conclusion

Esophageal FCSEMS placement is safe and effective modality in management of patients with esophageal rupture.

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Acknowledgments

Mr Vipin Thomas

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Authors and Affiliations

  1. Department of Gastroenterology, Institute of Digestive and Hepatobiliary Sciences, Medanta-The Medicity, Sector 38, Gurgaon, Delhi NCR, 122 001, India

    Mukesh Nasa, Zubin Dev Sharma, Narendra S. Choudhary, Rajesh Puri & Randhir Sud

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  1. Mukesh Nasa
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  2. Zubin Dev Sharma
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  3. Narendra S. Choudhary
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  4. Rajesh Puri
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  5. Randhir Sud
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Correspondence to Mukesh Nasa.

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Conflict of interest

MN, ZDS, NSC, RP, and RS declare that they have no conflict of interest.

Ethics statement

The authors declare that the study was performed in a manner that conforms to the Helsinki Declaration of 1975, as revised in 2000 and 2008 concerning human and animal rights, and the authors followed the policy concerning informed consent as shown on Springer.com.

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Nasa, M., Sharma, Z.D., Choudhary, N.S. et al. Removable self-expanding metal stents insertion for the treatment of perforations and postoperative leaks of the esophagus. Indian J Gastroenterol 35, 101–105 (2016). https://doi.org/10.1007/s12664-016-0639-y

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  • DOI: https://doi.org/10.1007/s12664-016-0639-y

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