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Esophageal Stenting in Clinical Practice: an Overview
Bram D Vermeulen1, Peter D Siersema2
1Department of Gastroenterology and Hepatology, Radboud University Medical Center, Geert Grooteplein-Zuid 8 (route 455), 6500, HB, Nijmegen, the Netherlands. bram.vermeulen@radboudumc.nl.
Current Treatment Options in Gastroenterology
|March 21, 2018
Summary
Esophageal stents effectively treat dysphagia and leakage by restoring patency and sealing defects. Fully covered self-expandable metal stents are preferred for malignant or benign dysphagia and esophageal leakage.
Area of Science:
- Gastroenterology
- Endoscopy
- Medical Devices
Background:
- Esophageal stents are crucial for managing diverse esophageal conditions.
- This review focuses on the practical application, benefits, and drawbacks of esophageal stenting.
Purpose of the Study:
- To provide key principles and an updated literature review on esophageal stenting.
- To discuss the utility and limitations of esophageal stents in clinical practice.
Main Methods:
- Literature review of current research and clinical guidelines.
- Analysis of indications, stent types, and outcomes for esophageal stenting.
Main Results:
- Esophageal stents are indicated for malignant/benign dysphagia and esophageal leakage (perforations, anastomotic leaks, fistulas).
- Fully covered self-expandable metal stents are recommended for dysphagia; covered stents aid in sealing esophageal leaks.
- Validated prediction tools are emerging to aid patient selection for stenting.
Conclusions:
- Esophageal stenting is supported by current research for treating dysphagia and leakage.
- Careful patient selection is crucial for successful outcomes, especially in cases of esophageal leakage.
- Self-expandable metal stents offer a valuable therapeutic option for complex esophageal conditions.
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