Su1443 Self-Expandable Metal Stents As Definite Treatment for Esophageal Variceal Bleeding

2013 ◽  
Vol 77 (5) ◽  
pp. AB325 ◽  
Author(s):  
Ingrid L. Holster ◽  
Ernst J. Kuipers ◽  
Henk R. Van Buuren ◽  
Manon C. Spaander ◽  
Eric T. Tjwa
Keyword(s):  
Variceal Bleeding ◽  
Metal Stents ◽  
Esophageal Variceal ◽  
Esophageal Variceal Bleeding ◽  
Definite Treatment

624 SELF-EXPANDABLE METAL STENTS AS DEFINITE TREATMENT FOR ESOPHAGEAL VARICEAL BLEEDING

2013 ◽  
Vol 58 ◽  
pp. S255 ◽  
Author(s):  
I.L. Holster ◽  
E.J. Kuipers ◽  
H.R. van Buuren ◽  
M.C.W. Spaander ◽  
E.T.T.L. Tjwa
Keyword(s):  
Variceal Bleeding ◽  
Metal Stents ◽  
Esophageal Variceal ◽  
Esophageal Variceal Bleeding ◽  
Definite Treatment

Self-expandable metal stents as definitive treatment for esophageal variceal bleeding

Endoscopy ◽  
2013 ◽  
Vol 45 (06) ◽  
pp. 485-488 ◽  
Author(s):  
I. Holster ◽  
E. Kuipers ◽  
H. van Buuren ◽  
M. Spaander ◽  
E. Tjwa
Keyword(s):  
Variceal Bleeding ◽  
Definitive Treatment ◽  
Metal Stents ◽  
Esophageal Variceal ◽  
Esophageal Variceal Bleeding

scholarly journals Self-Expandable Metal Stents in the Treatment of Acute Esophageal Variceal Bleeding

2011 ◽  
Vol 2011 ◽  
pp. 1-6 ◽  
Author(s):  
Àngels Escorsell ◽  
Jaime Bosch
Keyword(s):  
Variceal Bleeding ◽  
Endoscopic Therapy ◽  
Massive Bleeding ◽  
Metal Stents ◽  
Esophageal Variceal ◽  
Esophageal Variceal Bleeding ◽  
New Device ◽  
Balloon Tamponade ◽  
Banding Ligation ◽  
Temporary Control

Acute variceal bleeding (AVB) is a life-threatening complication in patients with cirrhosis. Hemostatic therapy of AVB includes early administration of vasoactive drugs that should be combined with endoscopic therapy, preferably banding ligation. However, failure to control bleeding or early rebleed within 5 days still occurs in 15–20% of patients with AVB. In these cases, a second endoscopic therapy may be attempted (mild bleeding in a hemodynamically stable patient) or we can use a balloon tamponade as a bridge to definitive derivative treatment (i.e., a transjugular intrahepatic portosystemic shunt). Esophageal balloon tamponade provides initial control in up to 80% of AVB, but it carries a high risk of major complications, especially in cases of long duration of tamponade (>24 h) and when tubes are inserted by inexperienced staff. Preliminary reports suggest that self-expandable covered esophageal metallic stents effectively control refractory AVB (i.e., ongoing bleeding despite pharmacological and endoscopic therapy or massive bleeding precluding endoscopic therapy) with a low incidence of complications. Thus, covered self-expanding metal stents may represent an alternative to the Sengstaken-Blakemore balloon for the temporary control of bleeding in treatment failures. Further studies are required to determine the role of this new device in AVB.

The use of self-expanding metal stents to treat acute esophageal variceal bleeding

Endoscopy ◽  
2006 ◽  
Vol 38 (9) ◽  
pp. 896-901 ◽  
Author(s):  
R. Hubmann ◽  
G. Bodlaj ◽  
M. Czompo ◽  
L. Benkö ◽  
P. Pichler ◽  
...  
Keyword(s):  
Variceal Bleeding ◽  
Metal Stents ◽  
Use Of Self ◽  
Esophageal Variceal ◽  
Esophageal Variceal Bleeding ◽  
Self Expanding Metal Stents

scholarly journals Self-Expandable Metal Stents for Persisting Esophageal Variceal Bleeding after Band Ligation or Injection-Therapy: A Retrospective Study

PLoS ONE ◽  
2015 ◽  
Vol 10 (6) ◽  
pp. e0126525 ◽  
Author(s):  
Martin Müller ◽  
Thomas Seufferlein ◽  
Lukas Perkhofer ◽  
Martin Wagner ◽  
Alexander Kleger
Keyword(s):  
Retrospective Study ◽  
Variceal Bleeding ◽  
Injection Therapy ◽  
Metal Stents ◽  
Esophageal Variceal ◽  
Esophageal Variceal Bleeding ◽  
Band Ligation

scholarly journals Esophageal Stent for Refractory Variceal Bleeding: A Systemic Review and Meta-Analysis

2016 ◽  
Vol 2016 ◽  
pp. 1-10 ◽  
Author(s):  
Xiao-Dong Shao ◽  
Xing-Shun Qi ◽  
Xiao-Zhong Guo
Keyword(s):  
Variceal Bleeding ◽  
Meta Analysis ◽  
Esophageal Stent ◽  
Systemic Review ◽  
Cochrane Library ◽  
Metal Stents ◽  
Related Complication ◽  
Stent Deployment ◽  
Esophageal Variceal ◽  
Esophageal Variceal Bleeding

Background. Preliminary studies suggest that covered self-expandable metal stents may be helpful in controlling esophageal variceal bleeding.Aims. To evaluate the effectiveness and safety of esophageal stent in refractory variceal bleeding in a systematic review and meta-analysis.Methods. A comprehensive literature search was conducted on PubMed, EMBASE, and Cochrane Library covering the period from January 1970 to December 2015. Data were selected and abstracted from eligible studies and were pooled using a random-effects model. Heterogeneity was assessed usingI2test.Results. Five studies involving 80 patients were included in the analysis. The age of patients ranged from 18 to 91 years. The mean duration of follow-up was 46.8 d (range, 30–60 d). The success rate of stent deployment was 96.7% (95% CI: 91.6%–99.5%) and complete response to esophageal stenting was in 93.9% (95% CI: 82.2%–99.6%). The incidence of rebleeding was 13.2% (95% CI: 1.8%–32.8%) and the overall mortality was 34.5% (95% CI: 24.8%–44.8%). Most of patients (87.4%) died from hepatic or multiple organ failure, and only 12.6% of patients died from uncontrolled bleeding. There was no stent-related complication reported and the incidence of stent migration was 21.6% (95% CI: 4.7%–46.1%).Conclusion. Esophageal stent may be considered in patients with variceal bleeding refractory to conventional therapy.

scholarly journals The effect of bacterial infections in cirrhotic patients with esophageal variceal bleeding

2014 ◽  
Vol 13 (3) ◽  
pp. 364-369 ◽  
Author(s):  
Zuo-Hua Gan ◽  
Chen-Chi Tsai ◽  
Kuo-Chih Tseng ◽  
Chih-Chun Tsai ◽  
Yu-Hsi Hsieh ◽  
...  
Keyword(s):  
Variceal Bleeding ◽  
Bacterial Infections ◽  
Esophageal Variceal ◽  
Esophageal Variceal Bleeding ◽  
Cirrhotic Patients
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