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Esophageal stent

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https://www.readbyqxmd.com/read/29779221/nasojejunal-stent-technique-njst-a-new-system-to-prevent-fully-covered-metal-stent-migration-in-the-treatment-of-benign-esophageal-diseases
#1
Oscar Víctor Hernández Mondragón, Raquel Palos Cuellar, Enrique Murcio Pérez
Fully covered self-expandable metal stents (FCSEMS) have been used for the treatment of benign esophageal conditions such as perforation, leaks, and strictures [1]; high clinical success is reported [2]. Different anchoring methods have been described (clips, suturing devices, over-the-scope clips and Shim technique [2]), because of high migration rates (4-36%) [3,4]. However, not all cases are candidates, mostly in "difficult" cases where enteral feeding is needed [5]. We report the use of the nasojejunal-stent technique (NJST) to prevent migration of FCSEMS in three difficult cases...
May 19, 2018: Digestive Endoscopy: Official Journal of the Japan Gastroenterological Endoscopy Society
https://www.readbyqxmd.com/read/29761794/successful-treatment-of-tracheoesophageal-fistula-using-a-covered-esophageal-stent
#2
Young Koog Cheon, Jung Hun Kim
No abstract text is available yet for this article.
May 16, 2018: Korean Journal of Internal Medicine
https://www.readbyqxmd.com/read/29761324/temporary-self-expandable-metallic-stent-placement-in-post-gastrectomy-complications
#3
Hyun Jin Oh, Chul-Hyun Lim, Seung Bae Yoon, Han Hee Lee, Jin Su Kim, Yu Kyung Cho, Jae Myung Park, Myung-Gyu Choi
BACKGROUND: Self-expandable metallic stents in the upper gastrointestinal tract are used for treating malignant esophageal or gastroduodenal outlet obstructions and fistulas. Recently, self-expandable metallic stent use has been expanded to benign esophageal or gastroduodenal strictures and post-operative complications. However, there is scarce data available regarding efficacy, long-term complications, and outcomes with the use of self-expandable metallic stent in benign disease, especially post-gastrectomy complications...
May 14, 2018: Gastric Cancer
https://www.readbyqxmd.com/read/29755087/-successful-echo-guided-deployment-of-stent-graft-for-intraoperative-retrograde-aortic-dissection-and-rupture-report-of-a-case
#4
Naoki Kanemitsu, Takehiko Matsuo, Hiroaki Osada, Kazuo Yamanaka, Junichi Tazaki
We report a case of chronic dissecting thoracoabdominal aneurysm with intraoperative retrograde aortic dissection and rupture at proximal descending aorta, which was successfully treated by echoguided stent-graft insertion. An 82-year old male underwent thoracoabdominal aortic replacement for dilatation of infra-diaphragmatic aorta. Under F-F bypass, his thoracoabdominal aorta was replaced by a Dacron graft with 4-branches. After he weaned from F-F bypass, we found massive bleeding from proximal descending aorta...
May 2018: Kyobu Geka. the Japanese Journal of Thoracic Surgery
https://www.readbyqxmd.com/read/29750984/liquid-nitrogen-spray-cryotherapy-for-dysphagia-palliation-in-patients-with-inoperable-esophageal-cancer
#5
Toufic Kachaamy, Ravi Prakash, Madappa Kundranda, Raman Batish, Jeffrey Weber, Scott Hendrickson, Leon Yoder, Hannah Do, Theresa Magat, Rajeev Nayar, Digant Gupta, Trisha DaSilva, Ashish Sangal, Shivangi Kothari, Vivek Kaul, Pankaj Vashi
BACKGROUND AND AIMS: Dysphagia is a debilitating symptom in patients with inoperable esophageal cancer contributing to poor quality of life and worsening nutritional status. The 2 most commonly used palliative modalities for dysphagia are radiation therapy (RT) and esophageal stent placement. However, RT is limited by adverse events (AEs) and total dose, and stent placement has a high rate of AEs including reflux, migration, and chest pain. A relatively new modality of liquid nitrogen endoscopic spray cryotherapy has been described as salvage when other options have been exhausted and when patients are no longer receiving systemic therapy...
May 8, 2018: Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/29747950/esophagectomy-in-patients-with-human-immunodeficiency-virus-and-acquired-immune-deficiency-syndrome-a-viable-option
#6
Michael Mwachiro, Eric Mitchell, Hillary M Topazian, Russell White
The objective of this study was to assess the outcomes for patients with human immunodeficiency virus (HIV) and acquired immune deficiency virus (AIDS) who had esophagectomy done for both benign and malignant conditions. A retrospective chart review of patients with HIV and AIDS undergoing esophagectomy at a rural referral hospital was done for the period of 2009-2014. Patient postoperative complications, outcomes, and follow-up data were charted. All procedures were done by a single lead surgeon. Nine patients met the study criteria, 7 of whom had esophageal cancer, and 2 with strictures...
April 2018: Seminars in Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/29742066/endoscopic-management-of-recurrent-tracheoesophageal-fistula-induced-by-chronic-use-of-nonsteroidal-anti-inflammatory-drugs-a-case-report-and-review-of-the-literature
#7
Theodor Alexandru Voiosu, Andrada Viorela Gheorghe, Dan Adrian Bobeica, Andrei Mihai Voiosu, Radu Bogdan Mateescu
Tracheoesophageal fistula (TEF) is frequently congenital and requires surgical correction. TEF can also occur secondary to malignant esophageal tumors or benign diseases and these cases are managed by endoscopic means, such as closing the defect with metallic stents. Although esophageal injury can occur secondary to nonsteroidal anti-inflammatory drugs (NSAIDs), TEF secondary to chronic NSAIDs use hasn't been described in the literature. We report the case of a male patient with refractory migraine and chronic use of NSAIDs, with a history of esophageal stenosis presenting with acute-onset total dysphagia...
May 8, 2018: Romanian Journal of Internal Medicine, Revue Roumaine de Médecine Interne
https://www.readbyqxmd.com/read/29728468/esophageal-metal-stents-with-concurrent-chemoradiation-therapy-for-locally-advanced-esophageal-cancer-safe-or-not
#8
Yueh-Feng Lu, Chen-Shuan Chung, Chao-Yu Liu, Pei-Wei Shueng, Le-Jung Wu, Chen-Xiong Hsu, Deng-Yu Kuo, Pei-Yu Hou, Hsiu-Ling Chou, Ka-I Leong, Cheng-Hung How, San-Fang Chou, Li-Ying Wang, Chen-Hsi Hsieh
BACKGROUND: The purpose of this study was to review the risks and benefits of concurrent chemoradiation therapy (CCRT) with esophageal self-expandable metal stents (SEMS) for the treatment of locally advanced esophageal cancer. MATERIALS AND METHODS: Between January 2014 and December 2016, the data from 46 locally advanced esophageal cancer patients who received CCRT at our institution were retrospectively reviewed. Eight patients who received CCRT concomitant with SEMS placement (SEMS plus CCRT group) and thirty-eight patients who received CCRT without SEMS placement (CCRT group) were identified...
May 4, 2018: Oncologist
https://www.readbyqxmd.com/read/29716653/esophageal-pulmonary-fistula-a-rare-complication-of-radiation-therapy-a-case-report
#9
Laetitia Buemi, Salvatore Stefanelli, Philippe Bichard, Mickaël Luscher, Minerva Becker
BACKGROUND: Esophageal respiratory fistulae are abnormal communications between the esophagus and the respiratory system. They are either congenital or acquired. Most acquired esophageal respiratory fistulae are of the esophageal tracheal and esophageal bronchial type and are caused by infections or malignant neoplasms, whereas esophageal pulmonary fistulae are rare. CASE PRESENTATION: We report a case of a 72-year-old Caucasian man with squamous cell carcinoma of the lung presenting with abrupt-onset dyspnea during localized mediastinal radiotherapy...
May 2, 2018: Journal of Medical Case Reports
https://www.readbyqxmd.com/read/29704471/transplantation-of-autologous-esophageal-mucosa-to-prevent-stricture-after-circumferential-endoscopic-submucosal-dissection-of-early-esophageal-cancer-with-video
#10
ZhongLi Liao, GuoBin Liao, Xin Yang, Xue Peng, Xia Zhang, Xia Xie, XiaoYan Zhao, ShiMing Yang, ChaoQiang Fan, JianYing Bai
BACKGROUD AND STUDY AIMS: Esophageal stricture is a common adverse event after endoscopic submucosal dissection (ESD) when it involves entire circumference of esophagus. We aimed to assess the effectiveness and safety of endoscopic transplantation of autologous esophageal mucosa in preventing stricture formation after circumferential ESD. PATIENTS AND METHODS: Nine patients who underwent circumferential ESD for early esophageal cancer were enrolled. After undergoing ESD, autologous esophageal mucosal patches were attached to the "ulcer surface" using hemoclips and then fixed with a covered metal mesh stent...
April 25, 2018: Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/29697549/endoscopic-electrocautery-incisional-therapy-as-a-treatment-for-refractory-benign-pediatric-esophageal-strictures
#11
Michael A Manfredi, Susannah J Clark, Shawn Medford, Steven J Staffa, Peter Ngo, Thomas E Hamilton, C Jason Smithers, Russell W Jennings
BACKGROUND AND AIM: Refractory esophageal strictures are rare conditions in pediatrics, and are often due to anastomotic, congenital, or caustic strictures. Traditional treatment options include serial dilation and surgical stricture resection; endoscopic intralesional steroid injections, mitomycin C, and externally removable stents combined with dilation have had variable success rates. Although not as widely used, endoscopic electrocautery incisional therapy (EIT) has been reported as an alternative treatment for refractory strictures in a small number of adult series...
April 23, 2018: Journal of Pediatric Gastroenterology and Nutrition
https://www.readbyqxmd.com/read/29686924/anomalous-right-subclavian-artery-esophageal-fistulae
#12
Courtney Brooke Shires, Michael J Rohrer
An aberrant right subclavian artery (ARSA) is the most common aortic arch anomaly, but only 19 previous cases of ARSA-esophageal fistula have been reported. Six patients have survived their bleeding episode. We describe the case of a 44-year-old woman who developed massive hemoptysis. Laryngoscopy, bronchoscopy, head and neck angiogram, and median sternotomy did not reveal what was presumed initially to be a tracheoinnominate fistula. Contrasted CT showed an anomalous subclavian artery posterior to the esophagus...
2018: Case Reports in Vascular Medicine
https://www.readbyqxmd.com/read/29686699/progress-on-the-prevention-of-esophageal-stricture-after-endoscopic-submucosal-dissection
#13
REVIEW
Peina Shi, Xiaoyun Ding
Endoscopic submucosal dissection (ESD) has been widely accepted as an effective, minimally invasive treatment for superficial esophageal cancers. However, esophageal stricture often occurs in patients with large mucosal defects after ESD. In this review, we discuss various approaches recently researched to prevent esophageal strictures after ESD. These approaches can be classified as pharmacological treatments, esophageal stent treatments, and tissue engineering approaches. Most of the preventive approaches still have their limitations and require further research...
2018: Gastroenterology Research and Practice
https://www.readbyqxmd.com/read/29685044/self-expandable-metal-stents-are-a-valid-option-in-long-term-survivors-of-advanced-esophageal-cancer
#14
Eduardo Rodrigues-Pinto, Pedro Pereira, Todd H Baron, Guilherme Macedo
BACKGROUND: self-expandable metal stents are often used for the palliative treatment of dysphagia in patients with advanced esophageal cancer and an anticipated limited survival. Due to previous reports of a high rate of adverse event when used long-term, concerns have been raised with regard to the use of self-expandable metal stents in patients with a longer survival. AIM: assess the role of esophageal self-expandable metal stents in patients with advanced esophageal cancer that have survived longer than six months...
April 24, 2018: Revista Española de Enfermedades Digestivas
https://www.readbyqxmd.com/read/29685041/dysphagia-and-hematemesis-caused-by-an-intramural-esophageal-dissection
#15
Bingyi Zhou, Yuyong Tan, Liang Lv, Deliang Liu
We report the case of a 60-year-old male with aggravated dysphagia and hematemesis. Severe esophageal mucosa defects and two 'submucosal tunnels'were found.Diagnosis was intramucosal esophageal dissection. After 2 weeks' conservative treatment failed, we tired implantation of a covered mental stent, which worked well.
April 24, 2018: Revista Española de Enfermedades Digestivas
https://www.readbyqxmd.com/read/29675442/thoracic-endovascular-aortic-repair-for-aortoesophageal-fistula-after-covered-rupture-of-aortic-homograft-a-durable-option
#16
Michal Nozdrzykowski, Jens Garbade, Steffen Leinung, Andrej Schmidt, Friedrich-Wilhelm Mohr, Michael A Borger
A 63-year-old woman underwent replacement of the aortic root, ascending aorta, and partial arch due to Type A aortic dissection. Shortly thereafter, a replacement of the distal aortic arch and descending aorta was performed. Three years later, the patient developed an aortoesophageal fistula (AEF) resulting in re-replacement of the distal aortic arch and proximal descending aorta with a cryopreserved aortic homograft. Six weeks post-discharge, the patient was readmitted due to recurrent AEF. A thoracic endovascular stent graft was implanted to cover the aortic rupture, followed by correction of an esophageal lesion...
June 2017: Aorta (Stamford, Conn.)
https://www.readbyqxmd.com/read/29675358/persistence-of-gastric-or-esophageal-varices-on-final-angiography-increases-transjugular-intrahepatic-portosystemic-shunt-revision-rate-after-polytetrafluoroethylene-covered-stent-shunt-creation
#17
Benjamin Moulin, Olivier Chevallier, Gilles Abdulmalak, Maxime Luu, Marianne Latournerie, Anne Minello, Sophie Gehin, Jean-Pierre Cercueil, Marco Midulla, Romaric Loffroy
Background: To assess the association between final polytetrafluoroethylene (PTFE)-covered stent transjugular intrahepatic portosystemic shunt (TIPS) angiographic parameters and free shunt revision survey. Methods: Series of two comparison groups were generated with persistence of varices or not, the 25th , 50th , and 75th percentile as cutoff for each angle and a 15-mm distance as cutoff for distance D. Kaplan Meier free shunt revision curves were then created and compared with Log Rank test...
March 2018: Quantitative Imaging in Medicine and Surgery
https://www.readbyqxmd.com/read/29670781/-candida-krusei-empyema-thoracis-a-community-acquired-infection-requiring-a-high-index-of-suspicion
#18
Hazim Bukamur, Waseem Ahmed, Yazan Numan, Ibrahim Shahoub, Fuad Zeid
Empyema thoracis is a serious condition characterized by the accumulation of purulent fluid in the pleural cavity, typically following a pneumonia, subdiaphragmatic abscess, or esophageal rupture. Fungal empyema thoracis is a rare form of this condition with especially high mortality, in which the most frequently isolated fungus is Candida spp. This article presents a 74-year-old female with Candida krusei pneumonia and a complicated hospital course, initially presenting with nausea, vomiting, and dysphagia...
2018: Case Reports in Infectious Diseases
https://www.readbyqxmd.com/read/29660354/novel-treatment-for-anastomotic-leak-following-ivor-lewis-esophagectomy
#19
Joseph Costa, Lyall A Gorenstein, Frank D'Ovidio
Intra-thoracic anastomotic leaks following esophagogastrostomy occur frequently, often resulting in prolonged hospitalization and delays in advancing oral nutrition and hydration. Management of anastomotic esophageal leaks vary based on time of occurrence to the intervention, condition of the patient and location. Conservative approaches such as endo-clips and endo-stents have gained momentum in addressing esophageal leaks and fistulas, replacing the original paradigm of surgical approach as initial management...
April 13, 2018: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/29658669/-segmented-biodegradable-esophageal-stents-in-a-porcine-model-preclinical-evaluation-of-degradation-complications-and-tissue-reactions
#20
Yang Cao, Yadong Feng, Chunhua Jiao, Ruihua Shi
<b>Objective:</b> To evaluate the feasibility of two types of segmented biodegradable esophageal stents in treatment of refractory benign esophagus strictures. <b>Methods:</b> Uncovered biodegradable segmented stent and fully-covered biodegradable segmented stent were implanted into the porcine esophagus (6 for each). Data on biodegradation, complications, and tissue reactions were compared between two groups. <b>Results:</b> All animals kept good general conditions; no death, decreased food intake, weight loss and malnutrition were observed...
May 25, 2017: Zhejiang da Xue Xue Bao. Yi Xue Ban, Journal of Zhejiang University. Medical Sciences
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