Esophageal Stenting: How I Do It

Endoscopic esophageal stent placement is an effective palliative treatment for malignant strictures and has also been successfully used for benign indications, including esophageal refractory strictures and iatrogenic leaks and perforations. Despite several decades of evolution and the wide variety...

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Main Author: Rui Silva
Format: Article
Language:English
Published: Karger Publishers 2023-06-01
Series:GE: Portuguese Journal of Gastroenterology
Subjects:
Online Access:https://beta.karger.com/Article/FullText/530704
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author Rui Silva
author_facet Rui Silva
author_sort Rui Silva
collection DOAJ
description Endoscopic esophageal stent placement is an effective palliative treatment for malignant strictures and has also been successfully used for benign indications, including esophageal refractory strictures and iatrogenic leaks and perforations. Despite several decades of evolution and the wide variety of esophageal stents available to choose from, an ideal stent that is both effective and without adverse events such as stent migration, tissue ingrowth, or pressure necrosis has yet to be developed. This paper is an overview of how this evolution happened, and it also addresses the characteristics of some of the currently available stents, like their material and construction, delivery device, radial and axial force pattern, covering and size which may help to understand and avoid the occurrence of adverse events. The insertion delivery systems and techniques of placement of an esophageal self-expandable metal stent are reviewed, as well as some tips and tricks regarding placement and management of adverse events.
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spelling doaj.art-92d485dce97041c0b92a0253d91cd75a2023-07-06T12:16:43ZengKarger PublishersGE: Portuguese Journal of Gastroenterology2341-45452387-19542023-06-0111010.1159/000530704530704Esophageal Stenting: How I Do ItRui Silva0https://orcid.org/0000-0002-2779-634XGastroenterology Department, Portuguese Oncology Institute of Porto, Porto, PortugalEndoscopic esophageal stent placement is an effective palliative treatment for malignant strictures and has also been successfully used for benign indications, including esophageal refractory strictures and iatrogenic leaks and perforations. Despite several decades of evolution and the wide variety of esophageal stents available to choose from, an ideal stent that is both effective and without adverse events such as stent migration, tissue ingrowth, or pressure necrosis has yet to be developed. This paper is an overview of how this evolution happened, and it also addresses the characteristics of some of the currently available stents, like their material and construction, delivery device, radial and axial force pattern, covering and size which may help to understand and avoid the occurrence of adverse events. The insertion delivery systems and techniques of placement of an esophageal self-expandable metal stent are reviewed, as well as some tips and tricks regarding placement and management of adverse events.https://beta.karger.com/Article/FullText/530704esophageal neoplasmsself-expandable metal stentsendoscopyadverse events
spellingShingle Rui Silva
Esophageal Stenting: How I Do It
GE: Portuguese Journal of Gastroenterology
esophageal neoplasms
self-expandable metal stents
endoscopy
adverse events
title Esophageal Stenting: How I Do It
title_full Esophageal Stenting: How I Do It
title_fullStr Esophageal Stenting: How I Do It
title_full_unstemmed Esophageal Stenting: How I Do It
title_short Esophageal Stenting: How I Do It
title_sort esophageal stenting how i do it
topic esophageal neoplasms
self-expandable metal stents
endoscopy
adverse events
url https://beta.karger.com/Article/FullText/530704
work_keys_str_mv AT ruisilva esophagealstentinghowidoit