A Novel Hybrid Stent with Endoscopic Vacuum Therapy for Treating Leaks of the Upper Gastrointestinal Tract.

Anastomotic leak Endoscopic vacuum therapy Esophageal perforation Self-expanding metal stent

Journal

Visceral medicine
ISSN: 2297-4725
Titre abrégé: Visc Med
Pays: Switzerland
ID NLM: 101681546

Informations de publication

Date de publication:
Oct 2021
Historique:
received: 15 07 2020
accepted: 14 10 2020
entrez: 1 11 2021
pubmed: 2 11 2021
medline: 2 11 2021
Statut: ppublish

Résumé

Self-expanding metal stents (SEMS) are an established option for treating leaks in the upper gastrointestinal tract, and endoscopic vacuum therapy (EVT) has become a promising alternative. A novel approach is the use of an esophageal hybrid SEMS (VACStent®), which can maintain esophageal passage during EVT. We present the first study demonstrating successful use of the VACStent® for treating leaks of the upper gastrointestinal tract. We performed a retrospective, single-center study of all patients who underwent endoscopic stenting with the VACStent® of leaks in the upper gastrointestinal tract. Indications for treatment with the VACStent® were: iatrogenic esophageal perforation ( The initial experience has been that the technical application of the VACStent® is safe and technically feasible. However, due to the small number of patients this study could not show the clear advantages of this novel hybrid stent. More studies are necessary to show significant advantages.

Identifiants

pubmed: 34722723
doi: 10.1159/000512320
pii: vis-0037-0403
pmc: PMC8543322
doi:

Types de publication

Journal Article

Langues

eng

Pagination

403-409

Informations de copyright

Copyright © 2020 by S. Karger AG, Basel.

Déclaration de conflit d'intérêts

The authors have no conflict of interests to declare.

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Auteurs

Seung-Hun Chon (SH)

Department of General, Visceral, Cancer, and Transplant Surgery, University Hospital Cologne, Cologne, Germany.

Ulrich Töx (U)

Department of Gastroenterology and Hepatology, University Hospital Cologne, Cologne, Germany.

Florian Lorenz (F)

Department of Gastroenterology and Hepatology, University Hospital Cologne, Cologne, Germany.

Isabel Rieck (I)

Department of Gastroenterology and Hepatology, University Hospital Cologne, Cologne, Germany.

Britta Janina Wagner (BJ)

Department of Pathology, University Hospital Cologne, Cologne, Germany.

Robert Kleinert (R)

Department of General, Visceral, Cancer, and Transplant Surgery, University Hospital Cologne, Cologne, Germany.

Hans Friedrich Fuchs (HF)

Department of General, Visceral, Cancer, and Transplant Surgery, University Hospital Cologne, Cologne, Germany.

Tobias Goeser (T)

Department of Gastroenterology and Hepatology, University Hospital Cologne, Cologne, Germany.

Alexander Quaas (A)

Department of Pathology, University Hospital Cologne, Cologne, Germany.

Christiane J Bruns (CJ)

Department of General, Visceral, Cancer, and Transplant Surgery, University Hospital Cologne, Cologne, Germany.

Classifications MeSH