A case of non-contiguous gastric and esophageal iatrogenic perforations managed by self-expanding metal stent placement

AbstractWe describe a case of iatrogenic gastric perforation after sleeve gastrectomy procedure as bariatric surgery. Initially, a covered self-expanding metal stent placement (SEMS) was attempted outside, but it resulted in second iatrogenic perforation at lower esophagus. He improved gradually with drainage, antibiotics, and SEMS placement.

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Short- and long-term outcomes after colonic self-expandable metal stent placement for malignant large-bowel obstruction as a bridge to surgery focus on the feasibility of the laparoscopic approach: a retrospective, single center study

World Journal of Surgical Oncology ◽

10.1186/s12957-020-02039-8 ◽

2020 ◽

Vol 18 (1) ◽

Author(s):

Jesse Yu Tajima ◽

Nobuhisa Matsuhashi ◽

Takao Takahashi ◽

Chika Mizutani ◽

Yoshinori Iwata ◽

...

Keyword(s):

Laparoscopic Surgery ◽

Surgical Approach ◽

Stent Placement ◽

Large Bowel Obstruction ◽

Long Term Results ◽

Bridge To Surgery ◽

Metal Stent ◽

Sems Placement ◽

Short And Long Term

Abstract Purpose Malignant large-bowel obstruction (MLBO) is a highly urgent condition in colorectal cancer with high complication rates. Self-expandable metal stent (SEMS) placement in MLBO is a new decompression treatment in Japan. Preoperative stent placement (bridge to surgery: BTS) avoids emergency surgery, but oncological influences of stent placement and post-BTS surgical approach remain unclear. We examined short- and long-term results of surgery for MLBO after SEMS placement in our hospital. Methods We retrospectively reviewed 75 patients with MLBO who underwent resection after SEMS placement at our hospital from June 2013 to December 2018. Postoperative morbidity and mortality were evaluated by comparison with the surgical approach. Results Tumor location was significantly higher in the left-side colon and rectum (n = 59, 78.7%) than right-side colon (n = 16, 21.3%). Technical and clinical success rates for SEMS placement were 97.3% and 96.0%, respectively. Laparoscopic surgery was performed in 54 patients (69.0%), and one-stage anastomosis was performed in 73 (97.3%). Postoperative complications were similar in the open surgery (open) group (n = 5, 23.8%) and laparoscopic surgery (lap) group (n = 7, 13.0%), with no severe complications requiring reoperation. Three-year overall survival (OS) and relapse-free survival (RFS) rates were not significantly different in the lap vs open group (67.5% vs 66.4%; 82.2% vs 62.5%). Conclusion Preoperative stent treatment avoids stoma construction but allows anastomosis. One-time surgery was performed safely contributing to minimally invasive treatment and acceptable short- and long-term results.

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Esophageal Stricture Due to a Self-Expandable Metal Stent (SEMS) Placement for Post Sleeve Gastrectomy Leak: a Case Report

Obesity Surgery ◽

10.1007/s11695-019-03835-2 ◽

2019 ◽

Vol 29 (6) ◽

pp. 1943-1945 ◽

Cited By ~ 1

Author(s):

Nader El Kary ◽

Elias Chahine ◽

Frédérick Moryoussef ◽

René-Louis Vitte ◽

Marc-Anthony Chouillard ◽

...

Keyword(s):

Sleeve Gastrectomy ◽

Case Report ◽

Esophageal Stricture ◽

Metal Stent ◽

Sems Placement ◽

Self Expandable Metal Stent

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Short- and long-term outcomes after colonic self-expandable metal stent placement for malignant large-bowel obstruction as a bridge to surgery

10.21203/rs.3.rs-38780/v1 ◽

2020 ◽

Author(s):

Jesse Yu Tajima ◽

Nobuhisa Matsuhashi ◽

Takao Takahashi ◽

Chika Mizutani ◽

Yoshinori Iwata ◽

...

Keyword(s):

Laparoscopic Surgery ◽

Surgical Approach ◽

Stent Placement ◽

Large Bowel Obstruction ◽

Long Term Results ◽

Bridge To Surgery ◽

Metal Stent ◽

Sems Placement ◽

Short And Long Term

Abstract Purpose Malignant large-bowel obstruction (MLBO) is a highly urgent condition in colorectal cancer with high complication rates. Self-expandable metal stent (SEMS) placement in MLBO is a new decompression treatment in Japan. Preoperative stent placement (bridge to surgery: BTS) avoids emergency surgery, but oncological influences of stent placement and post-BTS surgical approach remain unclear. We examined short- and long-term results of surgery for MLBO after SEMS placement in our hospital.Methods We retrospectively reviewed 75 patients with MLBO who underwent resection after SEMS placement at our hospital from June 2013 to December 2018. Postoperative morbidity and mortality were evaluated by comparison with the surgical approach.Results Tumor location was significantly higher in the left-side colon and rectum (n=59, 78.7%) than right-side colon (n=16, 21.3%). Technical and clinical success rates for SEMS placement were 97.3% and 96.0%, respectively. Laparoscopic surgery was performed in 54 patients (69.0%), and one-stage anastomosis was performed in 73 (97.3%). Postoperative complications were similar in the open surgery (Open) group (n=5, 23.8%) and laparoscopic surgery (Lap) group (n=7, 13.0%), with no severe complications requiring reoperation. Three-year overall survival (OS) and relapse-free survival (RFS) rates were not significantly different in the Lap vs Open group (67.5% vs 66.4%; 82.2% vs 62.5%).Conclusion Preoperative stent treatment avoids stoma construction but allows anastomosis. One-time surgery was performed safely contributing to minimally invasive treatment and acceptable short- and long-term results.

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Short- and long-term outcomes after colonic self-expandable metal stent placement for malignant large-bowel obstruction as a bridge to surgery focus on the feasibility of the laparoscopic approach: a retrospective, single center study

10.21203/rs.3.rs-38780/v3 ◽

2020 ◽

Author(s):

Jesse Yu Tajima ◽

Nobuhisa Matsuhashi ◽

Takao Takahashi ◽

Chika Mizutani ◽

Yoshinori Iwata ◽

...

Keyword(s):

Laparoscopic Surgery ◽

Surgical Approach ◽

Stent Placement ◽

Large Bowel Obstruction ◽

Long Term Results ◽

Bridge To Surgery ◽

Metal Stent ◽

Sems Placement ◽

Short And Long Term

Abstract Purpose Malignant large-bowel obstruction (MLBO) is a highly urgent condition in colorectal cancer with high complication rates. Self-expandable metal stent (SEMS) placement in MLBO is a new decompression treatment in Japan. Preoperative stent placement (bridge to surgery: BTS) avoids emergency surgery, but oncological influences of stent placement and post-BTS surgical approach remain unclear. We examined short- and long-term results of surgery for MLBO after SEMS placement in our hospital.Methods We retrospectively reviewed 75 patients with MLBO who underwent resection after SEMS placement at our hospital from June 2013 to December 2018. Postoperative morbidity and mortality were evaluated by comparison with the surgical approach.Results Tumor location was significantly higher in the left-side colon and rectum (n=59, 78.7%) than right-side colon (n=16, 21.3%). Technical and clinical success rates for SEMS placement were 97.3% and 96.0%, respectively. Laparoscopic surgery was performed in 54 patients (69.0%), and one-stage anastomosis was performed in 73 (97.3%). Postoperative complications were similar in the open surgery (Open) group (n=5, 23.8%) and laparoscopic surgery (Lap) group (n=7, 13.0%), with no severe complications requiring reoperation. Three-year overall survival (OS) and relapse-free survival (RFS) rates were not significantly different in the Lap vs Open group (67.5% vs 66.4%; 82.2% vs 62.5%).Conclusion Preoperative stent treatment avoids stoma construction but allows anastomosis. One-time surgery was performed safely contributing to minimally invasive treatment and acceptable short- and long-term results.

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Short- and long-term outcomes after colonic self-expandable metal stent placement for malignant large-bowel obstruction as a bridge to surgery focus on the feasibility of the laparoscopic approach: a retrospective, single center study

10.21203/rs.3.rs-38780/v2 ◽

2020 ◽

Author(s):

Jesse Yu Tajima ◽

Nobuhisa Matsuhashi ◽

Takao Takahashi ◽

Chika Mizutani ◽

Yoshinori Iwata ◽

...

Keyword(s):

Laparoscopic Surgery ◽

Surgical Approach ◽

Stent Placement ◽

Large Bowel Obstruction ◽

Long Term Results ◽

Bridge To Surgery ◽

Metal Stent ◽

Sems Placement ◽

Short And Long Term

Abstract Purpose Malignant large-bowel obstruction (MLBO) is a highly urgent condition in colorectal cancer with high complication rates. Self-expandable metal stent (SEMS) placement in MLBO is a new decompression treatment in Japan. Preoperative stent placement (bridge to surgery: BTS) avoids emergency surgery, but oncological influences of stent placement and post-BTS surgical approach remain unclear. We examined short- and long-term results of surgery for MLBO after SEMS placement in our hospital. Methods We retrospectively reviewed 75 patients with MLBO who underwent resection after SEMS placement at our hospital from June 2013 to December 2018. Postoperative morbidity and mortality were evaluated by comparison with the surgical approach. Results Tumor location was significantly higher in the left-side colon and rectum (n=59, 78.7%) than right-side colon (n=16, 21.3%). Technical and clinical success rates for SEMS placement were 97.3% and 96.0%, respectively. Laparoscopic surgery was performed in 54 patients (69.0%), and one-stage anastomosis was performed in 73 (97.3%). Postoperative complications were similar in the open surgery (Open) group (n=5, 23.8%) and laparoscopic surgery (Lap) group (n=7, 13.0%), with no severe complications requiring reoperation. Three-year overall survival (OS) and relapse-free survival (RFS) rates were not significantly different in the Lap vs Open group (67.5% vs 66.4%; 82.2% vs 62.5%). Conclusion Preoperative stent treatment avoids stoma construction but allows anastomosis. One-time surgery was performed safely contributing to minimally invasive treatment and acceptable short- and long-term results.

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Enteral self-expandable metal stent placement for malignant afferent limb syndrome using single-balloon enteroscope: report of five cases

Endoscopy International Open ◽

10.1055/a-0739-7640 ◽

2018 ◽

Vol 06 (11) ◽

pp. E1330-E1335 ◽

Cited By ~ 2

Author(s):

Kei Yane ◽

Akio Katanuma ◽

Tsuyoshi Hayashi ◽

Kuniyuki Takahashi ◽

Toshifumi Kin ◽

...

Keyword(s):

Treatment Option ◽

Stent Placement ◽

Alternative Treatment ◽

Metal Stent ◽

Sems Placement ◽

Afferent Limb ◽

Alternative Treatment Option ◽

Single Balloon ◽

Self Expandable Metal Stent

AbstractEndoscopic enteral self-expandable metal stent (SEMS) placement is a useful alternative treatment option for malignant afferent limb syndrome (ALS). We investigated the safety, efficacy, and follow-up results of enteral SEMS placement using a single-balloon enteroscope for the treatment of malignant ALS.

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