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Ella esophageal stent

J O Alonso Lárraga, D Y Flores Carmona, A Hernández Guerrero, M E Ramírez Solís, J G de la Mora Levy, J C Sánchez Del Monte
INTRODUCTION AND AIMS: Malignant dysphagia is difficulty swallowing resulting from esophageal obstruction due to cancer. The goal of palliative treatment is to reduce the dysphagia and improve oral dietary intake. Self-expandable metallic stents are the current treatment of choice, given that they enable the immediate restoration of oral intake. The aim of the present study was to describe the results of using totally covered and partially covered esophageal stents for palliating esophageal cancer...
February 26, 2018: Revista de Gastroenterología de México
Marion Gamsjäger, Adrian Heghedus, Heinrich Resch, Gerd Bodlaj
No abstract text is available yet for this article.
2016: Endoscopy
Àngels Escorsell, Oana Pavel, Andrés Cárdenas, Rosa Morillas, Elba Llop, Càndid Villanueva, Juan C Garcia-Pagán, Jaime Bosch
UNLABELLED: Balloon tamponade is recommended only as a "bridge" to definitive therapy in patients with cirrhosis and massive or refractory esophageal variceal bleeding (EVB), but is frequently associated with rebleeding and severe complications. Preliminary, noncontrolled data suggest that a self-expandable, esophageal covered metal stent (SX-ELLA Danis; Ella-CS, Hradec Kralove, Czech Republic) may be an effective and safer alternative to balloon tamponade. We conducted a randomized, controlled trial aimed at comparing esophageal stent versus balloon tamponade in patients with cirrhosis and EVB refractory to medical and endoscopic treatment...
June 2016: Hepatology: Official Journal of the American Association for the Study of Liver Diseases
Zora Messner, Michael Gschwantler, Heinrich Resch, Gerd Bodlaj
No abstract text is available yet for this article.
2014: Endoscopy
Eric M Pauli, Steve J Schomisch, Joseph P Furlan, Andrea S Marks, Amitabh Chak, Richard H Lash, Jeffrey L Ponsky, Jeffrey M Marks
BACKGROUND: Advanced esophageal dysplasia and early cancers have been treated traditionally with esophagectomy. Endoscopic esophageal mucosectomy (EEM) offers less-invasive therapy, but high-degree stricture formation limits its applicability. We hypothesized that placement of a biodegradable stent (BD-stent) immediately after circumferential EEM would prevent stricturing. METHODS: Ten pigs (five unstented controls, five BD-stent) were utilized. Under anesthesia, a flexible endoscope with a band ligator and snare was used to incise the mucosa approximately 20 cm proximal to the lower esophageal sphincter...
December 2012: Surgical Endoscopy
F Pérez Roldán, P González Carro, M C Villafáñez García, S Aoufi Rabih, M L Legaz Huidobro, N Sánchez-Manjavacas Múñoz, O Roncero García-Escribano, M Ynfante Ferrús, E Bernardos Martín, F Ruiz Carrillo
Benign colonic strictures and fistulas are a growing problem presenting most commonly after bowel resection. Standard treatment is with endoscopic bougies or, more usually, balloon dilation. When these approaches are not successful, other solutions are available and different endoscopic and surgical approaches have been used to treat fistulas. We present an additional option--biodegradable stents--for the treatment of colonic strictures and fistulas that have proven refractory to other endoscopic interventions...
March 2012: Endoscopy
Marie Černá, Martin Köcher, Vlastimil Válek, René Aujeský, Čestmír Neoral, Tomáš Andrašina, Jiří Pánek, Shankari Mahathmakanthi
PURPOSE: This study was designed to evaluate our experience with the treatment of postoperative anastomotic leaks and benign esophageal perforations with covered biodegradable stents. MATERIALS AND METHODS: From 2008 to 2010, we treated five men with either an anastomotic leak or benign esophageal perforation by implanting of covered biodegradable Ella-BD stents. The average age of the patients was 60 (range, 38-74) years. Postoperative anastomotic leaks were treated in four patients (1 after esophagectomy, 1 after resection of diverticulum, 2 after gastrectomy)...
December 2011: Cardiovascular and Interventional Radiology
Daniel von Renteln, Melina C Vassiliou, Karel Caca, Arthur Schmidt, Richard I Rothstein
BACKGROUND: Secure access and reliable closure is paramount in the setting of transesophageal mediastinal endoscopic surgery. The purpose of this study was to develop a secure transesophageal access technique and to evaluate the feasibility, safety, and efficacy of a novel covered, self-expanding, retractable stent for closure of 15-mm esophageal defects. METHODS: Fifteen-millimeter esophagotomies were created in 18 domestic pigs using needle knife puncture and balloon dilatation or a blunt dissection technique...
July 2011: Surgical Endoscopy
Alessandro Repici, Frank P Vleggaar, Cesare Hassan, Petra G van Boeckel, Fabio Romeo, Nicola Pagano, Alberto Malesci, Peter D Siersema
BACKGROUND: Benign esophageal strictures refractory to standard dilation therapy present a challenging problem. Temporary plastic and metal stents have been proposed with inconclusive results. OBJECTIVE: To evaluate the efficacy and safety of a new biodegradable stent for the treatment of refractory benign esophageal strictures (RBESs). DESIGN AND SETTING: Prospective study from 2 European endoscopy centers. PATIENTS AND INTERVENTION: Twenty-one patients (11 men/10 women, mean age 60...
November 2010: Gastrointestinal Endoscopy
I Mishin, G Ghidirim, A Dolghii, G Bunic, G Zastavnitsky
Endoscopic variceal ligation is superior to sclerotherapy because of its lower rebleeding and complication rates. However, ligation may be associated with life-threatening bleeding from postbanding esophageal ulcer. We report a case of a 49-year-old male with massive hemorrhage from esophageal ulcer on 8th day after successful band ligation of bleeding esophageal varices caused by postviral liver cirrhosis (Child-Pugh class C). A removable polyurethane membrane-covered self-expanding metal stent (SX-ELLA stent Danis, 135 mm × 25 mm, ELLA-CS, Hradec-Kralove, Czech Republic) was inserted in ICU for preventing fatal hemorrhage...
September 2010: Diseases of the Esophagus: Official Journal of the International Society for Diseases of the Esophagus
Madeleen J Uitdehaag, Peter D Siersema, Manon C W Spaander, Frank P Vleggaar, Els M L Verschuur, Ewout W Steyerberg, Ernst J Kuipers
BACKGROUND: Fully covered stents are designed to resist tissue ingrowth that is often seen with partially covered stents. An issue with fully covered stents is the risk of migration. OBJECTIVE: We aimed to determine efficacy, recurrent dysphagia, and complications of the SX-ELLA stent Esophageal HV, which is fully covered to resist tissue ingrowth and has an antimigration ring to withstand migration. DESIGN: Prospective cohort study. SETTING: Two tertiary referral centers...
March 2010: Gastrointestinal Endoscopy
Gavin Wright, Heather Lewis, Brian Hogan, Andrew Burroughs, David Patch, James O'Beirne
BACKGROUND: Refractory variceal bleeding is associated with a high mortality. Existing salvage techniques such as transjugular intrahepatic portosystemic shunt (TIPS) and balloon tamponade (BT) have important limitations and may not be appropriate for all patients. OBJECTIVE: To evaluate the safety and efficacy of a novel removable self-expanding metal stent in the management of refractory variceal bleeding. DESIGN: Case series. SETTING: Tertiary referral liver center...
January 2010: Gastrointestinal Endoscopy
Richard Babor, Michael Talbot, Anthony Tyndal
BACKGROUND: Anastomotic and staple line leaks are serious complications after upper gastrointestinal and bariatric procedures. In patients who are actively septic "diversion and drainage" with aspiration of esophageal and gastric secretions, operative placement of perianastomotic drains, bowel rest, and parenteral nutrition form the conventional management strategy of leaks. Treatment of leaks by direct suture repair, revision, patching, and application of fibrin glue to leaks have failed to gain widespread acceptance owing to a high failure rate in the septic patient...
February 2009: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
J Zehetner, A Shamiyeh, W Wayand, R Hubmann
BACKGROUND: Acute bleeding from nontreated esophageal varices is associated with a mortality rate of 30% to 50%. Various pharmacologic and interventional methods to stop acute bleeding are available. However, for 10% to 20% of patients, therapy fails to stop the bleeding. This study aimed to assess the SX-ELLA Stent Danis Set (which has a self-expanding metal stent) instead of a balloon probe for compression of esophageal varices. METHODS: Using a multidisciplinary approach, a self-expanding stent was placed in 39 patients between January 2003 and August 2007...
October 2008: Surgical Endoscopy
Tarun Sabharwal, Manpreet S Gulati, Nikolas Fotiadis, Renato Dourado, Abrie Botha, Robert Mason, Andreas Adam
BACKGROUND AND AIM: Metal stents placed across the gastroesophageal junction in patients with malignant dysphagia frequently present with reflux symptoms. We compared an antireflux stent with a standard open stent used in combination with proton pump inhibitor medication. METHODS: Forty-nine patients with dysphagia due to inoperable carcinoma in the lower third of the esophagus were randomly selected to receive either a antireflux valve stent (FerX-Ella) (n = 22) or a covered standard open stent (Ultraflex), which was combined with proton pump inhibitors such as omeprazole (n = 26)...
May 2008: Journal of Gastroenterology and Hepatology
Marjolein Y V Homs, Peter J Wahab, Ernst J Kuipers, Ewout W Steyerberg, Tim A Grool, Jelle Haringsma, Peter D Siersema
BACKGROUND: Self-expandable metal stents deployed across the gastroesophageal junction predispose to gastroesophageal reflux. The efficacy of a stent with an antireflux mechanism in preventing gastroesophageal reflux was assessed. METHODS: Thirty patients with carcinoma of the distal esophagus or of the gastric cardia were randomized to receive either a stent with a windsock-type antireflux valve (FerX-Ella) (n = 15) or a standard open stent (n = 15) of the same design minus the valve...
November 2004: Gastrointestinal Endoscopy
M Cerná, M Köcher, M Dlouhý, C Neoral, A Gryga, M Duda, E Buriánková, R Aujeský, H el Sheikh
No abstract text is available yet for this article.
2000: Acta Universitatis Palackianae Olomucensis Facultatis Medicae
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