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Self-expanding metal stent in esophageal perforations and anastomotic leaks

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Abstract

Background and Aims

Placement of self-expanding metal stents (SEMS) has emerged as a minimally invasive treatment option for esophageal perforation and leaks. The aim of our study was to assess the role of SEMS for the management of benign esophageal diseases such as perforations and anastomotic leaks.

Methods

All patients (n = 26) who underwent SEMS placement for esophageal perforation and anastomotic leaks between May 2012 and February 2019 were included. Data were analyzed in relation to the indications, type of stent used, complications, and outcomes.

Results

Indications for stent placement included anastomotic leaks 65% (n = 17) and perforations 35% (n = 9). Fully covered SEMS (FCSEMS) was placed in 25 patients, and in 1, partially covered SEMS (PCSEMS) was placed. Stent placement was successful in all the patients (n = 26). Four patients did not report for follow-up after stenting. Among the patients on follow-up, 91% (20/22) had healing of the mucosal defect. Stent-related complications were seen in 5 (23%) patients and included stent migration [3], reactive hyperplasia [1] and stricture [1].

Conclusion

Covered stent placement for a duration of 8 weeks is technically safe and clinically effective as a first-line procedure for bridging and healing benign esophageal perforation and leaks.

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Authors and Affiliations

  1. Department of Gastroenterology, Christian Medical College, Vellore 632 004, India

    Anoop John, Sudipta Dhar Chowdhury, Reuben Thomas Kurien, Deepu David, Amit Kumar Dutta, Ebby George Simon & A. J. Joseph

  2. Upper GI Surgery Unit, Division of Surgery, Christian Medical College, Vellore 632 004, India

    Vijay Abraham & Inian Samarasam

Authors
  1. Anoop John
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  2. Sudipta Dhar Chowdhury
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  3. Reuben Thomas Kurien
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  4. Deepu David
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  5. Amit Kumar Dutta
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  6. Ebby George Simon
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  7. Vijay Abraham
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  8. A. J. Joseph
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  9. Inian Samarasam
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Corresponding author

Correspondence to Sudipta Dhar Chowdhury.

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Conflict of interest

AJ, SDC, RTK, DD, AKD, EGS, VA, AJJ, and IS declare that they have no conflict of interest.

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The study was performed conforming to the Helsinki declaration of 1975, as revised in 2000 and 2008 concerning human and animal rights, and the authors followed the policy concerning informed consent as shown on Springer.com.

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John, A., Chowdhury, S.D., Kurien, R.T. et al. Self-expanding metal stent in esophageal perforations and anastomotic leaks. Indian J Gastroenterol 39, 445–449 (2020). https://doi.org/10.1007/s12664-020-01078-z

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  • DOI: https://doi.org/10.1007/s12664-020-01078-z

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