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Surgical Endoscopy

, Volume 32, Issue 8, pp 3646–3651 | Cite as

Treatment of benign perforations and leaks of the esophagus: factors associated with success after stent placement

  • Cheal Wung Huh
  • Joon Sung Kim
  • Hyun Ho Choi
  • Ja In Lee
  • Jeong-Seon Ji
  • Byung-Wook Kim
  • Hwang Choi
Article

Abstract

Background

Self-expanding metal stent (SEMS) is effective and safe for the treatment of benign esophageal perforations or leaks. The purpose of this study was to identify factors associated with clinical success after SEMS placement.

Methods

Patients who received SEMS placement for treatment of benign esophageal perforations or leaks were retrospectively identified. These patients were analyzed for factors associated with clinical success and complications.

Results

A total of 31 patients underwent stent insertion for benign esophageal perforations (n = 11) or anastomotic leaks (n = 20). Clinical success was achieved in twenty-three patients (74.2%) after initial stent insertion. In multivariate analysis, early stent insertion within 1 day was identified as a significant independent predictor of successful sealing (Odds ratio = 3.14, 95% CI 1.36–7.24; p = 0.013). The anastomotic leak group needed a longer stent dwelling time (≥ 4 weeks) compared to the perforation group (75.0% vs. 27.3%, p = 0.022).

Conclusions

Clinical success was significantly associated with early stent insertion. The dwelling time of stent was shorter for benign perforations compared to anastomotic leaks.

Keywords

Self-expanding metal stent Benign esophageal perforation Anastomotic leakage 

Notes

Acknowledgements

The English in this document has been checked by at least two professional editors, both native speakers of English.

Compliance with ethical standards

Disclosures

Drs. Cheal Wung Huh, Joon Sung Kim, Hyun Ho Choi, Ja In Lee, Jeong-Seon Ji, Byung-Wook Kim, and Hwang Choi have no conflicts of interest or financial ties to disclose.

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  • Cheal Wung Huh
    • 1
  • Joon Sung Kim
    • 1
  • Hyun Ho Choi
    • 2
  • Ja In Lee
    • 1
  • Jeong-Seon Ji
    • 1
  • Byung-Wook Kim
    • 1
  • Hwang Choi
    • 1
  1. 1.Division of Gastroenterology, Department of Internal Medicine, College of Medicine, Incheon St. Mary’s HospitalThe Catholic University of KoreaIncheonRepublic of Korea
  2. 2.Division of Gastroenterology, Department of Internal Medicine, Uijeongbu St. Mary’s Hospital, College of MedicineThe Catholic University of KoreaUijeongbu-SiRepublic of Korea

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