The first Egyptian experience using new self-expandable metal stents in acute esophageal variceal bleeding: Pilot study

Background / Aim: Balloon tamponade has been widely available in emergency situations of acute variceal bleeding. To lessen the complications of Balloon tamponade, a new special type of stent for exclusive use in acute variceal bleeding has been developed. This study aims to investigate the effectiv...

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Main Authors: Mohamed S Zakaria, Iman M Hamza, Mohamed A Mohey, Rainer G Hubamnn
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2013-01-01
Series:The Saudi Journal of Gastroenterology
Subjects:
Online Access:http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2013;volume=19;issue=4;spage=177;epage=181;aulast=Zakaria
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author Mohamed S Zakaria
Iman M Hamza
Mohamed A Mohey
Rainer G Hubamnn
author_facet Mohamed S Zakaria
Iman M Hamza
Mohamed A Mohey
Rainer G Hubamnn
author_sort Mohamed S Zakaria
collection DOAJ
description Background / Aim: Balloon tamponade has been widely available in emergency situations of acute variceal bleeding. To lessen the complications of Balloon tamponade, a new special type of stent for exclusive use in acute variceal bleeding has been developed. This study aims to investigate the effectiveness and safety of the new self-expandable metal stents (SEMS) in the initial control of acute variceal bleeding. We also hypothesized that using SEMS can bridge the acute bleeding episode converting endoscopic management by sclerotherapy or band ligation to an elective procedure. Patients and Methods: Twenty patients with acute variceal bleeding were included in the study and 16 of them were allocated to receive stent treatment. Results: Stent deployment was successful in 15 of 16 patients (93.75%). Technical errors were reported in 3 (18.75%) patients. Initial control of variceal bleeding was reported in 14 (out of 16) (87.5%) patients. The mean duration of the procedure was 10 (±6) min. Mortality was reported in 4 (25.0%) patients. Conclusion: SEMS is a safe and effective mean to control acute variceal bleeding.
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spelling doaj.art-e99a668645fc462f930dadb8ed8f5cc72022-12-21T17:50:38ZengWolters Kluwer Medknow PublicationsThe Saudi Journal of Gastroenterology1319-37671998-40492013-01-0119417718110.4103/1319-3767.114516The first Egyptian experience using new self-expandable metal stents in acute esophageal variceal bleeding: Pilot studyMohamed S ZakariaIman M HamzaMohamed A MoheyRainer G HubamnnBackground / Aim: Balloon tamponade has been widely available in emergency situations of acute variceal bleeding. To lessen the complications of Balloon tamponade, a new special type of stent for exclusive use in acute variceal bleeding has been developed. This study aims to investigate the effectiveness and safety of the new self-expandable metal stents (SEMS) in the initial control of acute variceal bleeding. We also hypothesized that using SEMS can bridge the acute bleeding episode converting endoscopic management by sclerotherapy or band ligation to an elective procedure. Patients and Methods: Twenty patients with acute variceal bleeding were included in the study and 16 of them were allocated to receive stent treatment. Results: Stent deployment was successful in 15 of 16 patients (93.75%). Technical errors were reported in 3 (18.75%) patients. Initial control of variceal bleeding was reported in 14 (out of 16) (87.5%) patients. The mean duration of the procedure was 10 (±6) min. Mortality was reported in 4 (25.0%) patients. Conclusion: SEMS is a safe and effective mean to control acute variceal bleeding.http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2013;volume=19;issue=4;spage=177;epage=181;aulast=ZakariaAcute variceal bleedingself-expandable metal stentsstent migration
spellingShingle Mohamed S Zakaria
Iman M Hamza
Mohamed A Mohey
Rainer G Hubamnn
The first Egyptian experience using new self-expandable metal stents in acute esophageal variceal bleeding: Pilot study
The Saudi Journal of Gastroenterology
Acute variceal bleeding
self-expandable metal stents
stent migration
title The first Egyptian experience using new self-expandable metal stents in acute esophageal variceal bleeding: Pilot study
title_full The first Egyptian experience using new self-expandable metal stents in acute esophageal variceal bleeding: Pilot study
title_fullStr The first Egyptian experience using new self-expandable metal stents in acute esophageal variceal bleeding: Pilot study
title_full_unstemmed The first Egyptian experience using new self-expandable metal stents in acute esophageal variceal bleeding: Pilot study
title_short The first Egyptian experience using new self-expandable metal stents in acute esophageal variceal bleeding: Pilot study
title_sort first egyptian experience using new self expandable metal stents in acute esophageal variceal bleeding pilot study
topic Acute variceal bleeding
self-expandable metal stents
stent migration
url http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2013;volume=19;issue=4;spage=177;epage=181;aulast=Zakaria
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