Technical features of esophageal stent deployment

Emelyanov S.I.

Evdokimov Moscow State University of Medicine and Dentistry

RSCI AuthorID: 526110
Scopus AuthorID: 6603872681
ORCID: 0000-0002-2575-1842

Samsonyan E.Kh.

Evdokimov Moscow State University of Medicine and Dentistry;
Centrosoyuz Hospital of the Russian Federation

Kurganov I.A.

Yevdokimov Moscow State University of Medicine and Dentistry of the Ministry of Health of the Russian Federation

ORCID: 0000-0003-0968-3955

Sekundova M.A.

Centrosoyuz Hospital of the Russian Federation

Bogdanov D.Yu.

Evdokimov Moscow State University of Medicine and Dentistry

Technical features of esophageal stent deployment

Authors:

Emelyanov S.I., Samsonyan E.Kh., Kurganov I.A., Sekundova M.A., Bogdanov D.Yu.

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Journal: Pirogov Russian Journal of Surgery. 2021;(10): 36‑44

DOI: 10.17116/hirurgia202110136

Downloaded: 28

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To cite this article:

Emelyanov SI, Samsonyan EKh, Kurganov IA, Sekundova MA, Bogdanov DYu. Technical features of esophageal stent deployment. Pirogov Russian Journal of Surgery. 2021;(10):36‑44. (In Russ.)
https://doi.org/10.17116/hirurgia202110136

Подписка 2025-2 (Pirogov Russian Journal of Surgery)

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OBJECTIVE

To work out the optimal technique of endoscopic stenting of the esophagus (ESE) using various delivery devices (DD); to analyze immediate and long-term results of stenting depending on the type of DD.

MATERIAL AND METHODS

ESE results were studied in 83 patients. Group 1 included 41 patients with implantation of metal stents delivered on a knitted tubular casing (21 stents with proximal opening and 20 stents with distal opening). Group 2 consisted of 42 patients who underwent ESE using a DD in the form of a contracting outer shell.

RESULTS

In the 1^st group, DD «stumbling» in 6 cases (14.6%) required additional tubular hollow rigid conductor. In the 2^nd group, there was no need for additional conductor (p=0.011). Intraoperative stent repositioning after its initial installation was required in 7 cases (17.1%) of the 1^st group and 16 cases (38.1%) of the 2^nd group (p=0.033). Higher likelihood of stent repositioning was observed in distal stent opening. Technical success rate was 100% in both groups. Clinical success rate was 100% in the 1^st group and 97.6% in the 2^nd group (p>0.05). Incidence of early and long-term postoperative complications was similar (p>0.05).

CONCLUSION

ESE with various DDs is safe and effective in patients with malignant unresectable esophageal tumors and symptoms of dysphagia. However, certain features of stent installation should be considered. In our opinion, DD with proximal disclosure is more convenient due to better visual positioning of stent.

Keywords:

endoscopic stenting of the esophagus

delivery device

esophageal cancer

dysphagia

metal stent

Authors:

Emelyanov S.I.

Evdokimov Moscow State University of Medicine and Dentistry

RSCI AuthorID: 526110
Scopus AuthorID: 6603872681
ORCID: 0000-0002-2575-1842

Samsonyan E.Kh.

Evdokimov Moscow State University of Medicine and Dentistry;
Centrosoyuz Hospital of the Russian Federation

Kurganov I.A.

Yevdokimov Moscow State University of Medicine and Dentistry of the Ministry of Health of the Russian Federation

ORCID: 0000-0003-0968-3955

Sekundova M.A.

Centrosoyuz Hospital of the Russian Federation

Bogdanov D.Yu.

Evdokimov Moscow State University of Medicine and Dentistry

Received:

21.12.2020

Accepted:

10.02.2021

List of references:

Chernikova EN, Kurushkina NA, Shishin KV, Nedoluzhko IJu. Results of endoscopic stenting of the esophagus. Dokazatel’naja gastrojenterologija. 2018;7(1):71b-72. (In Russ.).
Drobjazgin EA, Chikinev JuV, Kutepov AV. Endoscopic stenting of the gullet and esophageal anastomosis. Povolzhskij onkologicheskij vestnik. 2010;2:39-47. (In Russ.).
Ahmed O, Ajani JA, Lee JH. Endoscopic management of esophageal cancer. World Journal of Gastrointestinal Oncology. 2019;11(10):830-841. https://doi.org/10.4251/wjgo.v11.i10.830.
Yanık F, Karamustafaoğlu YA, Yörük Y. Esophageal self-expandable metal stent placement for the palliation of dysphagia due to lung cancer. Turkish Journal of Thoracic and Cardiovascular Surgery. 2019;27(1):88-92. https://doi.org/10.5606/tgkdc.dergisi.2019.16755
Zhuraev ShSh, Bajtileuov TA, Shajhiev EU, Sadykov NK, Shokebaev AA. Esophageal stenting for the esophageal cancer. Onkologija i radiologija Kazahastana. 2011;1(18):27-28. (In Russ.).
Korolev MP, Fedotov LE, Smirnov AA, Ogloblin AL. Endoscopic stenting of stenotic diseases of the esophagus. Rossijskij zhurnal gastrojenterologii, gepatologii, koloproktologii. 2008;18(5):164-166. (In Russ.).
Emre A, Sertkaya M, Akbulut S, Erbil O, Yurttutan N, Kale İT, Bülbüloğlu E. Self-expandable metallic stent application for the management of upper gastrointestinal tract disease. Turkish Journal of Surgery. 2018;34(2):101-105. https://doi.org/10.5152/turkjsurg.2017.3740
Zubeev PS, Nikolaev NI, Teplov OV, Volkov AP. The first experience of the self-extending metal stent use at an inoperable cancer of the esophagus is presented. Nizhegorodskij medicinskij zhurnal. 2005;4:158-160. (In Russ.).
Sokolov VV, Karpova ES, Pavlov PV. Endoscopic stenting for obstructing esophageal and gastric cancer. Onkohirurgija. 2012;4(3):62-64. (In Russ.).
Zharkov VV, Karkockaja AP, Akinfeev VV, Orehov VF, Mal’kevich VT, Petrushko NM, Mavrichev VJu. Stenting for the esophageal cancer: first experience, successes and complications. Onkologicheskij zhurnal. 2009;4(12):16-23. (In Russ.).
Muravyev VM, Ivanov AI. Esophageal and cardia stenting in patients with benign and malignant stenosis. Povolzhskij onkologicheskij vestnik. 2010;2:31-38. (In Russ.).
Kachaamy T, Pannala R. Esophageal stents: when and how. Minerva Gastroenterologica e Dietologica. 2016;62(2):155-166.
Didden P, Reijm AN, Erler NS, Wolters LMM, Tang TJ, Ter Borg PCJ, Leeuwenburgh I, Bruno MJ, Spaander MCW. Fully vs. partially covered selfexpandable metal stent for palliation of malignant esophageal strictures: a randomized trial (the COPAC study). Endoscopy. 2018;50(10):961-971. https://doi.org/10.1055/a-0620-8135
Huh CW, Kim JS, Choi HH, Lee JI, Ji JS, Kim BW, Choi H. Treatment of benign perforations and leaks of the esophagus: factors associated with success after stent placement. Surgical Endoscopy. 2018;32(8):3646-3651. https://doi.org/10.1007/s00464-018-6096-1
Pavlov PV. Clinical experience of endoscopic stenting for stenotic cancer of the esophagus and stomach. Onkohirurgija. 2011;3(2):50-51. (In Russ.).
Bakheet N, Hu HT, Park JH, Jeon JY, Yoon SH, Kim KY, Zhe W, Kim SB, Song HY. Clinical effectiveness and safety of self-expanding metal stent placement following palliative chemotherapy in patients with advanced esophageal cancer. Abdominal radiology (New York). 2020;45(2):563-570. https://doi.org/10.1007/s00261-019-02245-3
Kulikov EP, Mertsalov SA, Mertsalov AS, Mastyugin MV, Bubnova LV, Baranov IA, Klevtsova SV. Endoscopic stenting in palliative treatment of patients with esophageal cancer. Palliativnaja medicina i reabilitacija. 2015;3:35-37. (In Russ.).
Essrani R, Shah H, Shah S, Macfarlan J. Complications Related to Esophageal Stent (Boston Scientific Wallflex vs. Merit Medical Endotek) Use in Benign and Malignant Conditions. Cureus. 2020;12(3):e7380. https://doi.org/10.7759/cureus.7380

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