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Oesophageal pulmonary fistula secondary to oesophageal carcinoma.
BMJ Case Rep
December 2024
Gastroenterology, Kasturba Medical College Manipal, Manipal, India.
A man in his early 60s presented with dysphagia and odynophagia. He was diagnosed with squamous cell carcinoma of the oesophagus. During his hospital stay, he developed a productive cough and experienced recurrent fever spikes.
View Article and Find Full Text PDFEfficacy and safety of a novel multisegmented fully covered self-expanding metal stent for malignant esophageal obstruction: a prospective pilot study with historical control.
Surg Endosc
December 2024
Department of Gastroenterology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Background And Aims: Self-expanding metal stents (SEMSs) are effective for symptom palliation in patients with esophageal obstruction. However, their placement can lead to adverse events such as stent migration and restenosis. A novel fully covered SEMS (FCSEMS) with antimigration properties has been developed to address these issues.
View Article and Find Full Text PDFAcute variceal bleeding (AVB) continues to challenge physicians and healthcare systems. Despite significant advances in our multimodal approach to managing this problem, namely medical, endoscopic, and radiological techniques, the mortality rates for this patient cohort remain as high as 20% on the index admission. This mortality rate has remained unchanged over the past 25 years.
View Article and Find Full Text PDFSelf-expanding metal stent for relieving the stricture after endoscopic injection for esophageal varices.
World J Clin Cases
October 2024
Department of Gastroenterology, Hangzhou Xixi Hospital, Hangzhou 310023, Zhejiang Province, China.
Article Synopsis
- - Esophageal stricture is a complication that can occur in 2-10% of patients after sclerotherapy for esophageal varices, and researchers aimed to assess the effectiveness of self-expanding metal stents (SEMS) for treating this issue.
- - A study from February to June 2023 involving 4 patients showed that SEMS improved strictures, though some patients experienced setbacks, including re-strictures and stent embedding into the esophageal lining.
- - While SEMS proved beneficial for alleviating strictures, further investigation is needed to determine the optimal timing for stent removal and to manage potential complications like acid reflux.
Safety and efficacy of conventional compared to segmented esophageal fully covered self-expanding metal stents: a retrospective multicenter case-control study.
Surg Endosc
December 2024
Department of Gastroenterology, Hepatology and Interventional Endoscopy, Asklepios Hospital Barmbek, Rübenkamp 220, 22307, Hamburg, Germany.
Background: Segmented self-expanding metal stents (SEMS) are an alternative to conventional unsegmented SEMS in the treatment of esophageal strictures. Due to their segmented design, they may adapt better to the surrounding structures making them less likely to migrate or cause trauma. We examined if there are clinically relevant differences between segmented and conventional esophageal SEMS in benign and malignant stenosis in terms of their functionality and safety.
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