Endoscopic Suturing of Esophageal Stent

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Authors

  • Dipti Sagar VA Central California Health System, 2615 E Clinton Ave, Fresno, CA 93703, USA; University of California San Francisco, UCSF Fresno Medical Education Program, 155 N. Fresno Street, Fresno, CA 93701-2302, USA
  • Subramanyeswara Arekapudi VA Central California Health System, 2615 E Clinton Ave, Fresno, CA 93703, USA; University of California San Francisco, UCSF Fresno Medical Education Program, 155 N. Fresno Street, Fresno, CA 93701-2302, USA
  • Sachdev Thomas VA Central California Health System, 2615 E Clinton Ave, Fresno, CA 93703, USA; University of California San Francisco, UCSF Fresno Medical Education Program, 155 N. Fresno Street, Fresno, CA 93701-2302, USA
  • Helen Wong VA Central California Health System, 2615 E Clinton Ave, Fresno, CA 93703, USA; University of California San Francisco, UCSF Fresno Medical Education Program, 155 N. Fresno Street, Fresno, CA 93701-2302, USA

DOI:

https://doi.org/10.17140/GOJ-3-127

Abstract

Migration is the most common complication of placing an esophageal fully covered self-expanding metal stent (FCSEMS). Prior Studies have demonstrated high migration rates of FCSEMS leading to additional invasive procedures.1 We report a case of esophageal FCSEMS placement with endoscopic suturing which prevented migration of the stent and a successful post procedure course.

References

Sharaiha RZ, Kumta NA, Doukides TP, et al. Esophageal stent-ing with sutures: It’s time to redefine our standards. J Clin Gastroen-terol. 2015; 49(6): e57-e60. doi: 10.1097/MCG.0000000000000198

Schembre D. Advances in esophageal stenting: The evolution of fully covered stents for malignant and benign disease. Adv Ther. 2010; 27: 413-425. doi: 10.1007/s12325-010-0042-5

Langer FB, Schoppmann SF, Prager G, et al. Temporary place-ment of self-expanding oesophageal stents as bridging for neo-adjuvant therapy. Ann Surg Oncol. 2010; 17: 470-475. doi: 10.1245/ s10434-009-0760-6

Eloubeidi MA, Lopes TL. Novel removable internally fully cov-ered self-expanding metal esophageal stent: Feasibility, technique of removal, and tissue response in humans. Am J Gastroenterol. 2009; 104: 1374-1381. doi: 10.1038/ajg.2009.133

Holm AN, de la Mora Levy JG, Gostout CJ, Topazian MD, Baron TH. Selfexpanding plastic stents in treatment of benign esophageal conditions. Gastrointest Endosc. 2008; 67: 20-25. doi: 10.1016/j.gie.2007.04.031

Kim JH, Shin JH, Song HY. Benign strictures of the esopha-gus and gastric outlet: Interventional management. Korean J Radiol. 2010; 11: 497-506. doi: 10.3348/kjr.2010.11.5.497 Submit your article to this journal | https://openventio.org/submit-manuscript/ Case Report | Volume 3 | Number 1| Saligram S

Swinnen J, Eisendrath P, Rigaux J, et al. Self-expandable met-al stents for the treatment of benign upper GI leaks and perfo-rations. Gastrointest Endosc. 2011; 73: 890-899. doi: 10.1016/j. gie.2010.12.019

Baron TH. Minimizing endoscopic complications: Endolumi-nal stents. Gastrointest Endosc Clin N Am. 2007; 17: 83-104. doi: 10.1016/j.giec.2007.01.004

Saligram S. Lim D, Pena L, Friedman M, Harris C, Klapman J. Safety and feasibility of esophageal self- expandable metal stent placement without the aid of fluoroscopy. Dis Esophagus. 2017; 30(8): 1-6. doi: 10.1093/dote/dox030

Manes G, Corsi F, Pallotta S, Massari A, Foschi D, Trabucchi E. Fixation of a covered self expandable metal stent by means of a polypectomy snare: An easy method to prevent stent migration. Dig Liver Dis. 2008; 40: 791-793. doi: 10.1016/j.dld.2007.10.020

Silva RA, Dinis-Ribeiro M, Brandao C, et al. Should we con-sider endoscopic clipping for prevention of esophageal stent mi-gration? Endoscopy. 2004; 36: 369-370. doi: 10.1055/s-0043-111793

Sriram PV, Das G, Rao GV, Reddy DN. Another novel use of endoscopic clipping: To anchor an esophageal endoprosthesis. En-doscopy. 2001; 33: 724-726. doi: 10.1055/s-2001-16207

Vanbiervliet G, Filippi J, Karimdjee BS, et al. The role of clips in preventing migration of fully covered metallic esophageal stents: A pilot comparative study. Surg Endosc. 2012; 26: 53-59. doi: 10.1007/s00464-011-1827-6

Rieder E, Dunst CM, Martinec DV, et al. Endoscopic suture fixation of gastrointestinal stents: Proof of biomechanical prin-ciples and early clinical experience. Endoscopy. 2012; 44: 1121-1126. doi: 10.1055/s-0032-1325730

Kantsevoy SV, Bitner M. Esophageal stent fixation with endo-scopic suturing device (with video). Gastrointest Endosc. 2012; 76: 1251-1255. doi: 10.1016/j.gie.2012.08.003

Sharaiha RZ, Kumta NA, Doukides TP, et al. Esophageal stent-ing with sutures: Time to redefine our standards? J Clin Gastroen-terol. 2015; 49(6): e57-e60. doi: 10.1097/MCG.0000000000000198

Ngamruengphong S, Sharaiha RZ, Sethi A, et al. Endoscopic suturing for the prevention of stent migration in benign upper gas-trointestinal conditions: A comparative multicenter study. Endos-copy. 2016; 48(9): 802-808. doi: 10.1055/s-0042-108567

Yang J, Siddiqui AA, Kowalski TE, et al. Esophageal stent fixa-tion with endoscopic suturing device improves clinical outcomes and reduces complications in patients with locally advanced esoph-ageal cancer prior to neoadjuvant therapy: A large multicenter experience. Surg Endosc. 2017; 31(3): 1414-1419. doi: 10.1007/ s00464-016-5131-3 , et al 3

Published

2018-03-19

How to Cite

Dipti Sagar, Subramanyeswara Arekapudi, Sachdev Thomas, & Helen Wong. (2018). Endoscopic Suturing of Esophageal Stent. Gastro, 3(1), 1–3. https://doi.org/10.17140/GOJ-3-127

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