Enteral stents in the management of gastrointestinal leaks, perforations and fistulae

Gastrointestinal leaks and fistulae are grave conditions associated with substantial morbidity and mortality. Expandable stents have shown significant success in the management of leaks and fistulae, providing an efficacious minimally invasive approach in patients who are frequently poor surgical ca...

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Main Authors: Hany Shehab, Todd H. Baron
Format: Article
Language:English
Published: Society of Gastrointestinal Intervention 2016-07-01
Series:Gastrointestinal Intervention
Subjects:
Online Access:https://doi.org/10.18528/gii160006
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author Hany Shehab
Todd H. Baron
author_facet Hany Shehab
Todd H. Baron
author_sort Hany Shehab
collection DOAJ
description Gastrointestinal leaks and fistulae are grave conditions associated with substantial morbidity and mortality. Expandable stents have shown significant success in the management of leaks and fistulae, providing an efficacious minimally invasive approach in patients who are frequently poor surgical candidates. Most reports, however, are limited by their small size or the pooling of different stents, techniques and locations of leaks and fistulae. Despite the numerous alterations in stent design, migration remains the pivotal drawback of this technique. In this article, we review the current status of expandable stents in the management of gastrointestinal leaks and fistulae, available anti-migration techniques and evolving innovations in stent design.
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spelling doaj.art-62f56fa2d1fc4acd9780f804aa734c4a2022-12-22T00:02:23ZengSociety of Gastrointestinal InterventionGastrointestinal Intervention2213-17952016-07-015211612310.18528/gii160006gii160006Enteral stents in the management of gastrointestinal leaks, perforations and fistulaeHany Shehab0Todd H. Baron1Gastrointestinal Endoscopy Unit, Kasralainy University Hospital, Cairo University, Cairo, EgyptDivision of Gastroenterology and Hepatology, Department of Medicine, University of North Carolina, Chapel Hill, NC, USAGastrointestinal leaks and fistulae are grave conditions associated with substantial morbidity and mortality. Expandable stents have shown significant success in the management of leaks and fistulae, providing an efficacious minimally invasive approach in patients who are frequently poor surgical candidates. Most reports, however, are limited by their small size or the pooling of different stents, techniques and locations of leaks and fistulae. Despite the numerous alterations in stent design, migration remains the pivotal drawback of this technique. In this article, we review the current status of expandable stents in the management of gastrointestinal leaks and fistulae, available anti-migration techniques and evolving innovations in stent design.https://doi.org/10.18528/gii160006Anastomotic leakEsophageal fistulaExpandable metallic stentsGastric fistulaStents
spellingShingle Hany Shehab
Todd H. Baron
Enteral stents in the management of gastrointestinal leaks, perforations and fistulae
Gastrointestinal Intervention
Anastomotic leak
Esophageal fistula
Expandable metallic stents
Gastric fistula
Stents
title Enteral stents in the management of gastrointestinal leaks, perforations and fistulae
title_full Enteral stents in the management of gastrointestinal leaks, perforations and fistulae
title_fullStr Enteral stents in the management of gastrointestinal leaks, perforations and fistulae
title_full_unstemmed Enteral stents in the management of gastrointestinal leaks, perforations and fistulae
title_short Enteral stents in the management of gastrointestinal leaks, perforations and fistulae
title_sort enteral stents in the management of gastrointestinal leaks perforations and fistulae
topic Anastomotic leak
Esophageal fistula
Expandable metallic stents
Gastric fistula
Stents
url https://doi.org/10.18528/gii160006
work_keys_str_mv AT hanyshehab enteralstentsinthemanagementofgastrointestinalleaksperforationsandfistulae
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