Post written by Shailendra Singh, MD, from West Virginia University, Morgantown, West Virginia, USA. Fully covered self-expandable metal stents (FC-SEMSs) are widely used in the management of both benign and malignant esophageal disorders, including strictures, leaks, and perforations. However, high migration rates—often exceeding 30% to 60%—remain a major limitation of their use, leading to recurrent …
Tag: self-expandable metal stent
Efficacy and safety of fully covered self-expandable metal stents in the management of postsphincterotomy bleeding: systematic review and meta-analysis
Post written by Aamir Saeed, MD, from the Department of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee, USA. In this meta-analysis, we aimed to assess the efficacy and safety of fully covered self-expandable metal stents (FCSEMSs) in the management of postsphincterotomy bleeding. Endoscopic sphincterotomy is commonly performed during ERCP to assist in various therapeutic interventions such as …
Prophylactic stenting to decrease the incidence of esophageal strictures after extensive endoscopic submucosal dissection: the first U.S. experience
Post written by Antonio Mendoza Ladd, MD, FACG, FASGE, from the University of California, Davis, Davis, California, USA. This case series focused on the effect of prophylactic placement of fully covered self-expandable metal stents after esophageal endoscopic submucosal dissection (ESD). ESD of esophageal lesions has increased significantly over the last 10 years in the United States. …
Utility of bilateral intraductal plastic stent for malignant hilar biliary obstruction compared with bilateral self-expandable metal stent: a propensity score–matched cohort analysis
Post written by Mitsuru Okuno, MD, PhD, from the Department of Gastroenterology, Gifu University Municipal Hospital, Gifu, Japan. Intraductal plastic stent (IS) placement has been known to have long stent patency. However, the effectiveness of bilateral IS placement compared with bilateral self-expandable metal stent (SEMS) placement—including stent patency, adverse events, and endoscopic reintervention—in patients with unresectable …
In-stent radiofrequency ablation with uncovered metal stent placement for tumor ingrowth/overgrowth causing self-expandable metal stent occlusion in distal malignant biliary obstruction: multicenter propensity score–matched study
Post written by Namyoung Park, MD, from the Department of Gastroenterology, Kyung Hee University Hospital at Gangdong, Woo Hyun Paik, MD, PhD, from the Department of Internal Medicine and Liver Research Institute, Seoul National University Hospital, Seoul National University College of Medicine, and Jae Hee Cho, MD, PhD, from the Department of Internal Medicine, Institute …
Effect of ursodeoxycholic acid after self-expandable metal stent placement in malignant distal biliary obstruction: a propensity score–matched cohort analysis
Post written by Mitsuru Okuno, MD, PhD, from the Department of Gastroenterology, Gifu Municipal Hospital, Gifu, Japan. We reported on the evaluation of ursodeoxycholic acid (UDCA) for different self-expandable metal stent (SEMS) types in malignant distal biliary obstruction (MDBO) with a multicenter retrospective study design using propensity score—matched cohort analysis. The non-UDCA group had significantly …
Covered versus uncovered double bare self-expandable metal stent for palliation of unresectable extrahepatic malignant biliary obstruction: a randomized controlled multicenter trial
Post written by Jae Hee Cho, MD, PhD, and Seungmin Bang, MD, PhD, from the Department of Internal Medicine, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea. A double bare metal stent (DBS) is a newly developed metal stent that is woven into a cross and hook structure with braided nitinol, and it has a …
EUS-guided gastroenterostomy versus duodenal self-expandable metal stent for malignant gastric outlet obstruction: results from a nationwide multicenter retrospective study (with video)
Post written by Rubén Sánchez-Aldehuelo, MD, from the Unidad de Endoscopia, Servicio de Gastroenterología y Hepatología, Hospital Universitario Ramón y Cajal, Fundación para la Investigación Biomédica del Hospital Universitario Ramón y Cajal (IRYCIS), Universidad de Alcalá, and Enrique Vázquez-Sequeiros, MD, PhD, from the Unidad de Endoscopia, Servicio de Gastroenterología y Hepatología, Hospital Universitario Ramón y Cajal, …
Patients undergoing covered and uncovered self-expandable metal stent placement
Post written by Yasuki Hori, MD, PhD, from the Department of Gastroenterology and Metabolism, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan. We focused on predictors for solid food intake after self-expandable metal stent (SEMS) placement for malignant gastric outlet obstruction, not only patient-related factors but also stent-related factors. We consider the identification …
Continue reading Patients undergoing covered and uncovered self-expandable metal stent placement
Endoscopic palliative treatment using SEMS
Adriana Vaz Safatle-Ribeiro, MD, PhD, from the Cancer Institute of São Paulo, University of São Paulo, São Paulo, Brazil presents this video case "Endoscopic palliative treatment using a metallic stent in a patient with an obstructive jejunal metastasis." The video demonstrates the insertion and deployment of an uncovered self-expandable metal stent at the midjejunum in …
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