IDDF2018-ABS-0016 Removable self-expanding metal stents insertion for the treatment of perforations and postoperative leaks of the oesophagus

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Abstract

Background

Esophageal rupture, spontaneous or iatrogenic, is associated with significant morbidity and mortality. The current study aims at highlighting the various clinical scenarios, where esophageal fully covered self-expanding removable metal stents (FCSEMS) can be used in esophageal rupture.

Methods

In patients who underwent insertion of FCSEMS between January 2013 and June 2014, all data regarding demographics, indications, insertion, removal, and outcomes were studied retrospectively (table 1). Seven patients underwent the placement of esophageal covered SEMS. Two patients had Boerhaave syndrome (figure 1), two had leak following the repair of an aortic aneurysm, one had extensive esophageal injury following transesophageal echocardiography, one had carcinoma oesophagus with tracheaesophageal fistula, and one had dehiscence of esophagogastric anastomosis.

Results

Seven patients underwent the placement of esophageal covered SEMS. Two patients had Boerhaave syndrome, two had leak following the repair of an aortic aneurysm, one had extensive esophageal injury following transesophageal echocardiography, one had carcinoma oesophagus with tracheaesophageal fistula, and one had dehiscence of esophagogastric anastomosis. Stent insertion was successful in all the patients; one had stent migration which was managed endoscopically. Two patients died due to underlying illness; the rest had successful removal of stents after 8–10 weeks and good outcomes.

Conclusions

Esophageal FCSEMS placement is safe and effective modality in the management of patients with esophageal rupture.

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