Safety of endoscopic removal of self-expandable stents after treatment of benign esophageal diseases

Emo E. Van Halsema; Louis M. Wong Kee Song; Todd H. Baron; Peter D. Siersema; Frank P. Vleggaar; Gregory G. Ginsberg; Pari M. Shah; David E. Fleischer; Shiva K. Ratuapli; Paul Fockens; Marcel G W Dijkgraaf; Giacomo Rando; Alessandro Repici; Jeanin E. Van Hooft

doi:10.1016/j.gie.2012.09.001

Safety of endoscopic removal of self-expandable stents after treatment of benign esophageal diseases

Emo E. Van Halsema, Louis M. Wong Kee Song, Todd H. Baron, Peter D. Siersema, Frank P. Vleggaar, Gregory G. Ginsberg, Pari M. Shah, David E. Fleischer, Shiva K. Ratuapli, Paul Fockens, Marcel G W Dijkgraaf, Giacomo Rando, Alessandro Repici, Jeanin E. Van Hooft

Istituto Clinico Humanitas

Research output: Contribution to journal › Article › peer-review

Abstract

Background: Temporary placement of self-expandable stents has been increasingly used for the management of benign esophageal diseases. Objective: To evaluate the safety of endoscopic removal of esophageal self-expandable stents placed for the treatment of benign esophageal diseases. Design: Multicenter retrospective study. Setting: Six tertiary care centers in the United States and Europe. Patients: A total of 214 patients with benign esophageal diseases undergoing endoscopic stent removal. Intervention: Endoscopic stent removal. Main Outcome Measurements: Endoscopic techniques for stent removal, time to stent removal, and adverse events related to stent removal. Results: A total of 214 patients underwent a total of 329 stent extractions. Stents were mainly placed for refractory strictures (49.2%) and fistulae (49.8%). Of the removed stents, 52% were fully covered self-expandable metal stents (FCSEMSs), 28.6% were partially covered self-expandable metal stents (PCSEMSs), and 19.5% were self-expandable plastic stents. A total of 35 (10.6%) procedure-related adverse events were reported, including 7 (2.1%) major adverse events. Multivariate analysis revealed that use of PCSEMSs (P

Original language	English
Pages (from-to)	18-28
Number of pages	11
Journal	Gastrointestinal Endoscopy
Volume	77
Issue number	1
DOIs	https://doi.org/10.1016/j.gie.2012.09.001
Publication status	Published - Jan 2013

Keywords

CI
confidence interval
FCSEMS
fully covered self-expandable metal stent
interquartile range
IQR
odds ratio
OR
partially covered self-expandable metal stent
PCSEMS
self-expandable metal stent
self-expandable plastic stent
SEMS
SEPS

ASJC Scopus subject areas

Gastroenterology
Radiology Nuclear Medicine and imaging

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10.1016/j.gie.2012.09.001

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Van Halsema, E. E., Wong Kee Song, L. M., Baron, T. H., Siersema, P. D., Vleggaar, F. P., Ginsberg, G. G., Shah, P. M., Fleischer, D. E., Ratuapli, S. K., Fockens, P., Dijkgraaf, M. G. W., Rando, G., Repici, A., & Van Hooft, J. E. (2013). Safety of endoscopic removal of self-expandable stents after treatment of benign esophageal diseases. Gastrointestinal Endoscopy, 77(1), 18-28. https://doi.org/10.1016/j.gie.2012.09.001

Van Halsema, EE, Wong Kee Song, LM, Baron, TH, Siersema, PD, Vleggaar, FP, Ginsberg, GG, Shah, PM, Fleischer, DE, Ratuapli, SK, Fockens, P, Dijkgraaf, MGW, Rando, G, Repici, A & Van Hooft, JE 2013, 'Safety of endoscopic removal of self-expandable stents after treatment of benign esophageal diseases', Gastrointestinal Endoscopy, vol. 77, no. 1, pp. 18-28. https://doi.org/10.1016/j.gie.2012.09.001

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abstract = "Background: Temporary placement of self-expandable stents has been increasingly used for the management of benign esophageal diseases. Objective: To evaluate the safety of endoscopic removal of esophageal self-expandable stents placed for the treatment of benign esophageal diseases. Design: Multicenter retrospective study. Setting: Six tertiary care centers in the United States and Europe. Patients: A total of 214 patients with benign esophageal diseases undergoing endoscopic stent removal. Intervention: Endoscopic stent removal. Main Outcome Measurements: Endoscopic techniques for stent removal, time to stent removal, and adverse events related to stent removal. Results: A total of 214 patients underwent a total of 329 stent extractions. Stents were mainly placed for refractory strictures (49.2%) and fistulae (49.8%). Of the removed stents, 52% were fully covered self-expandable metal stents (FCSEMSs), 28.6% were partially covered self-expandable metal stents (PCSEMSs), and 19.5% were self-expandable plastic stents. A total of 35 (10.6%) procedure-related adverse events were reported, including 7 (2.1%) major adverse events. Multivariate analysis revealed that use of PCSEMSs (P ",

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AU - Van Halsema, Emo E.

AU - Wong Kee Song, Louis M.

AU - Baron, Todd H.

AU - Siersema, Peter D.

AU - Vleggaar, Frank P.

AU - Ginsberg, Gregory G.

AU - Shah, Pari M.

AU - Fleischer, David E.

AU - Ratuapli, Shiva K.

AU - Fockens, Paul

AU - Dijkgraaf, Marcel G W

AU - Rando, Giacomo

AU - Repici, Alessandro

AU - Van Hooft, Jeanin E.

PY - 2013/1

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N2 - Background: Temporary placement of self-expandable stents has been increasingly used for the management of benign esophageal diseases. Objective: To evaluate the safety of endoscopic removal of esophageal self-expandable stents placed for the treatment of benign esophageal diseases. Design: Multicenter retrospective study. Setting: Six tertiary care centers in the United States and Europe. Patients: A total of 214 patients with benign esophageal diseases undergoing endoscopic stent removal. Intervention: Endoscopic stent removal. Main Outcome Measurements: Endoscopic techniques for stent removal, time to stent removal, and adverse events related to stent removal. Results: A total of 214 patients underwent a total of 329 stent extractions. Stents were mainly placed for refractory strictures (49.2%) and fistulae (49.8%). Of the removed stents, 52% were fully covered self-expandable metal stents (FCSEMSs), 28.6% were partially covered self-expandable metal stents (PCSEMSs), and 19.5% were self-expandable plastic stents. A total of 35 (10.6%) procedure-related adverse events were reported, including 7 (2.1%) major adverse events. Multivariate analysis revealed that use of PCSEMSs (P

AB - Background: Temporary placement of self-expandable stents has been increasingly used for the management of benign esophageal diseases. Objective: To evaluate the safety of endoscopic removal of esophageal self-expandable stents placed for the treatment of benign esophageal diseases. Design: Multicenter retrospective study. Setting: Six tertiary care centers in the United States and Europe. Patients: A total of 214 patients with benign esophageal diseases undergoing endoscopic stent removal. Intervention: Endoscopic stent removal. Main Outcome Measurements: Endoscopic techniques for stent removal, time to stent removal, and adverse events related to stent removal. Results: A total of 214 patients underwent a total of 329 stent extractions. Stents were mainly placed for refractory strictures (49.2%) and fistulae (49.8%). Of the removed stents, 52% were fully covered self-expandable metal stents (FCSEMSs), 28.6% were partially covered self-expandable metal stents (PCSEMSs), and 19.5% were self-expandable plastic stents. A total of 35 (10.6%) procedure-related adverse events were reported, including 7 (2.1%) major adverse events. Multivariate analysis revealed that use of PCSEMSs (P

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Safety of endoscopic removal of self-expandable stents after treatment of benign esophageal diseases

Abstract

Keywords

ASJC Scopus subject areas

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