The Use of Esophageal Stents in the Management of Postoperative Fistulas—Current Status, Clinical Outcomes and Perspectives—Review
Esophageal fistula remains one of the main postoperative complications, with the treatment often requiring the use of stents. This article reviews the updates on the use of endoscopic stents for the treatment of postoperative esophageal leakage in terms of indications, types of stents used, efficien...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-04-01
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| Series: | Life |
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| Online Access: | https://www.mdpi.com/2075-1729/13/4/966 |
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| author | Cristian Gelu Rosianu Petre Hoara Florin Achim Rodica Birla Alexandra Bolocan Ahmed Mohssen Narcis Copca Silviu Constantinoiu |
| author_facet | Cristian Gelu Rosianu Petre Hoara Florin Achim Rodica Birla Alexandra Bolocan Ahmed Mohssen Narcis Copca Silviu Constantinoiu |
| author_sort | Cristian Gelu Rosianu |
| collection | DOAJ |
| description | Esophageal fistula remains one of the main postoperative complications, with the treatment often requiring the use of stents. This article reviews the updates on the use of endoscopic stents for the treatment of postoperative esophageal leakage in terms of indications, types of stents used, efficiency, specific complications and perspectives. Materials and Methods: We searched the PubMed and MEDLINE databases for the keywords postoperative esophageal anastomotic leak and postoperative esophageal anastomotic leak stent, and retrieved relevant papers published until December 2022. Results: The endoscopic discovery of the fistula is usually followed by the insertion of a fully covered esophageal stent. It has an efficiency of more than 60% in closing the fistula, and the failure is related to the delayed application of the method, a situation more suitable for endo vac therapy. The most common complication is migration, but life-threatening complications have also been described. The combination of the advantages of endoscopic stents and vacuum therapy is probably found in the emerging VACstent procedure. Conclusions: Although the competing approaches give promising results, this method has a well-defined place in the treatment of esophageal fistulas, and it is probably necessary to refine the indications for each individual procedure. |
| first_indexed | 2024-03-11T04:50:01Z |
| format | Article |
| id | doaj.art-7188cde57861419abd74c83937e1f6f4 |
| institution | Directory Open Access Journal |
| issn | 2075-1729 |
| language | English |
| last_indexed | 2024-03-11T04:50:01Z |
| publishDate | 2023-04-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Life |
| spelling | doaj.art-7188cde57861419abd74c83937e1f6f42023-11-17T20:06:11ZengMDPI AGLife2075-17292023-04-0113496610.3390/life13040966The Use of Esophageal Stents in the Management of Postoperative Fistulas—Current Status, Clinical Outcomes and Perspectives—ReviewCristian Gelu Rosianu0Petre Hoara1Florin Achim2Rodica Birla3Alexandra Bolocan4Ahmed Mohssen5Narcis Copca6Silviu Constantinoiu7Department of General Surgery, “Carol Davila” University of Medicine and Pharmacy, 050474 Bucharest, RomaniaDepartment of General Surgery, “Carol Davila” University of Medicine and Pharmacy, 050474 Bucharest, RomaniaDepartment of General Surgery, “Carol Davila” University of Medicine and Pharmacy, 050474 Bucharest, RomaniaDepartment of General Surgery, “Carol Davila” University of Medicine and Pharmacy, 050474 Bucharest, RomaniaDepartment of General Surgery, “Carol Davila” University of Medicine and Pharmacy, 050474 Bucharest, RomaniaGastroenterology Department, “Sfanta Maria” Clinical Hospital, 011172 Bucharest, RomaniaSecond Department of Surgery, “Sfanta Maria” Clinical Hospital, 011172 Bucharest, RomaniaDepartment of General Surgery, “Carol Davila” University of Medicine and Pharmacy, 050474 Bucharest, RomaniaEsophageal fistula remains one of the main postoperative complications, with the treatment often requiring the use of stents. This article reviews the updates on the use of endoscopic stents for the treatment of postoperative esophageal leakage in terms of indications, types of stents used, efficiency, specific complications and perspectives. Materials and Methods: We searched the PubMed and MEDLINE databases for the keywords postoperative esophageal anastomotic leak and postoperative esophageal anastomotic leak stent, and retrieved relevant papers published until December 2022. Results: The endoscopic discovery of the fistula is usually followed by the insertion of a fully covered esophageal stent. It has an efficiency of more than 60% in closing the fistula, and the failure is related to the delayed application of the method, a situation more suitable for endo vac therapy. The most common complication is migration, but life-threatening complications have also been described. The combination of the advantages of endoscopic stents and vacuum therapy is probably found in the emerging VACstent procedure. Conclusions: Although the competing approaches give promising results, this method has a well-defined place in the treatment of esophageal fistulas, and it is probably necessary to refine the indications for each individual procedure.https://www.mdpi.com/2075-1729/13/4/966esophageal leakendoscopic stentendovacuum therapyVACstent |
| spellingShingle | Cristian Gelu Rosianu Petre Hoara Florin Achim Rodica Birla Alexandra Bolocan Ahmed Mohssen Narcis Copca Silviu Constantinoiu The Use of Esophageal Stents in the Management of Postoperative Fistulas—Current Status, Clinical Outcomes and Perspectives—Review Life esophageal leak endoscopic stent endovacuum therapy VACstent |
| title | The Use of Esophageal Stents in the Management of Postoperative Fistulas—Current Status, Clinical Outcomes and Perspectives—Review |
| title_full | The Use of Esophageal Stents in the Management of Postoperative Fistulas—Current Status, Clinical Outcomes and Perspectives—Review |
| title_fullStr | The Use of Esophageal Stents in the Management of Postoperative Fistulas—Current Status, Clinical Outcomes and Perspectives—Review |
| title_full_unstemmed | The Use of Esophageal Stents in the Management of Postoperative Fistulas—Current Status, Clinical Outcomes and Perspectives—Review |
| title_short | The Use of Esophageal Stents in the Management of Postoperative Fistulas—Current Status, Clinical Outcomes and Perspectives—Review |
| title_sort | use of esophageal stents in the management of postoperative fistulas current status clinical outcomes and perspectives review |
| topic | esophageal leak endoscopic stent endovacuum therapy VACstent |
| url | https://www.mdpi.com/2075-1729/13/4/966 |
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