scholarly journals Endoscopic treatment of postoperative esophagogastric leaks with fully covered self-expanding metal stents

2020 ◽  
Vol 112 ◽  
Author(s):  
Elena Iglesias Jorquera ◽  
Juan Egea Valenzuela ◽  
Andrés Serrano Jiménez ◽  
Gabriel Carrilero Zaragoza ◽  
Antonio Ortega Sabater ◽  
...  
Keyword(s):  
Endoscopic Treatment ◽  
Metal Stents ◽  
Self Expanding Metal Stents

scholarly journals Endoscopic treatment with self-expanding metal stents for Crohn's disease strictures

2012 ◽  
Vol 36 (9) ◽  
pp. 833-839 ◽  
Author(s):  
C. Loras ◽  
F. Pérez-Roldan ◽  
J. B. Gornals ◽  
J. Barrio ◽  
F. Igea ◽  
...  
Keyword(s):  
Crohn’S Disease ◽  
Crohn's Disease ◽  
Endoscopic Treatment ◽  
Metal Stents ◽  
Self Expanding Metal Stents

scholarly journals Propensity score‐matched comparison of stenting as a bridge to surgery and emergency surgery for acute malignant left‐sided colonic obstruction

BMC Surgery ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yuepeng Cao ◽  
Qing Chen ◽  
Zhizhan Ni ◽  
Feng Wu ◽  
Chenshen Huang ◽  
...  
Keyword(s):  
Overall Survival ◽  
Propensity Score ◽  
Emergency Surgery ◽  
Perineural Invasion ◽  
Cox Regression ◽  
Colonic Obstruction ◽  
Metal Stents ◽  
Bridge To Surgery ◽  
Cox Regression Analysis ◽  
Self Expanding Metal Stents

Abstract Background Bridge to elective surgery (BTS) using self-expanding metal stents (SEMSs) is a common alternative to emergency surgery (ES) for acute malignant left-sided colonic obstruction (AMLCO). However, studies regarding the long-term impact of BTS are limited and have reported unclear results. Methods A multicenter observational study was performed at three hospitals from April 2012 to December 2019. Propensity score matching (PSM) was introduced to minimize selection bias. The primary endpoint was overall survival. The secondary endpoints included surgical approaches, primary resection types, total stent-related adverse effects (AEs), surgical AEs, length of hospital stay, 30-day mortality and tumor recurrence. Results Forty-nine patients in both the BTS and ES groups were matched. Patients in the BTS group more often underwent laparoscopic resection [31 (63.3%) vs. 8 (16.3%), p < 0.001], were less likely to have a primary stoma [13 (26.5%) vs. 26 (53.1%), p = 0.007] and more often had perineural invasion [25 (51.0 %) vs. 13 (26.5 %), p = 0.013]. The median overall survival was significantly lower in patients with stent insertion (41 vs. 65 months, p = 0.041). The 3-year overall survival (53.0 vs. 77.2%, p = 0.039) and 5-year overall survival (30.6 vs. 55.0%, p = 0.025) were significantly less favorable in the BTS group. In multivariate Cox regression analysis, stenting (hazard ratio(HR) = 2.309(1.052–5.066), p = 0.037), surgical AEs (HR = 1.394 (1.053–1.845), p = 0.020) and pTNM stage (HR = 1.706 (1.116–2.607), p = 0.014) were positively correlated with overall survival in matched patients. Conclusions Self-expanding metal stents as “a bridge to surgery” are associated with more perineural invasion, a higher recurrence rate and worse overall survival in patients with acute malignant left-sided colonic obstruction compared with emergency surgery.

Self-Expanding Metal Stents Improve Swallowing and Maintain Nutrition During Neoadjuvant Therapy for Esophageal Cancer

2017 ◽  
Vol 62 (6) ◽  
pp. 1647-1656 ◽  
Author(s):  
Zachary L. Smith ◽  
Jason E. Gonzaga ◽  
George B. Haasler ◽  
Elizabeth M. Gore ◽  
Kulwinder S. Dua
Keyword(s):  
Esophageal Cancer ◽  
Neoadjuvant Therapy ◽  
Metal Stents ◽  
Self Expanding Metal Stents
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