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

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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.

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Acknowledgements

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

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Authors and Affiliations

  1. Division of Gastroenterology, Department of Internal Medicine, College of Medicine, Incheon St. Mary’s Hospital, The Catholic University of Korea, 665, Bupyeong-dong, Bupyeong-gu, Incheon, 403-720, Republic of Korea

    Cheal Wung Huh, Joon Sung Kim, Ja In Lee, Jeong-Seon Ji, Byung-Wook Kim & Hwang Choi

  2. Division of Gastroenterology, Department of Internal Medicine, Uijeongbu St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, 271, Cheon Bo-Ro, Uijeongbu-Si, Gyeonggi-Do, 11765, Republic of Korea

    Hyun Ho Choi

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  1. Cheal Wung Huh
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Correspondence to Joon Sung Kim or Hyun Ho Choi.

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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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Huh, C.W., Kim, J.S., Choi, H.H. et al. Treatment of benign perforations and leaks of the esophagus: factors associated with success after stent placement. Surg Endosc 32, 3646–3651 (2018). https://doi.org/10.1007/s00464-018-6096-1

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  • DOI: https://doi.org/10.1007/s00464-018-6096-1

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