Self-expandable metallic stent application for the management of upper gastrointestinal tract disease

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dc.authoridkale, ilhami taner/0000-0002-1522-8361
dc.authoridAkbulut, Sami/0000-0002-6864-7711
dc.authoriderbil, ozan andaç/0000-0002-6050-4580
dc.authorwosidEmre, Arif/JME-3234-2023
dc.authorwosidkale, ilhami taner/C-8883-2014
dc.authorwosidAkbulut, Sami/L-9568-2014
dc.authorwosiderbil, ozan andaç/JCD-9350-2023
dc.contributor.authorEmre, Arif
dc.contributor.authorSertkaya, Mehmet
dc.contributor.authorAkbulut, Sami
dc.contributor.authorErbil, Ozan
dc.contributor.authorYurttutan, Nursel
dc.contributor.authorKale, Ilhami Taner
dc.contributor.authorBulbuloglu, Ertan
dc.date.accessioned2024-08-04T20:09:56Z
dc.date.available2024-08-04T20:09:56Z
dc.date.issued2018
dc.departmentİnönü Üniversitesien_US
dc.description.abstractObjective: The aim of the present study was to share our experiences of the use of self-expandable metallic stent for the upper gastrointestinal tract disease. Material and Methods: We retrospectively reviewed the medical records of 18 patients who underwent self-expandable metallic stent implantation procedure for anastomosis stricture, anastomosis leak, or spontaneous fistula of the upper gastrointestinal tract at two different surgery clinics. Self-expandable metallic stent implantation procedures were performed while keeping the patient under sedation and the correct stent localization was verified using fluoroscopy. The stent localization and possible stent migration were checked using X-ray films taken a few days after the stenting procedure. Results: Overall, 25 self-expandable metallic stents were implanted in 18 patients (malignant, 13; benign, 5) aged between 19 and 89 years. The indications for self-expandable metallic stent implantation were as follows: malignant gastric stricture (inoperable; n=6), malignant esophageal stricture (inoperable; n=4), staple line leak (laparoscopic sleeve gastrectomy; n=4), esophagojejunostomy anastomotic leak (total gastrectomy+Roux-en-Yesophagojejunostomy; n=2), and stricture (total gastrectomy+Roux-en-Yesophagojejunostomy; n=1), and esophagopleural fistula (pulmonary tuberculosis; n=1). A favorable outcome was achieved in a single session in 15 patients, whereas more than two sessions of stenting were necessary in the remaining three patients. Among the patients who underwent esophagojejunal anastomosis (n=3), self-expandable metallic stents were successfully deployed in a single session in two patients to relieve anastomosis leak (n=1) and anastomosis stricture (n=1); the remaining patients underwent four self-expandable metallic stent implantation procedures to relieve anastomosis leak and subsequent recurrent strictures. No complications developed during the stenting procedure. Three of the four patients who developed mortality had advanced stage esophageal cancer, whereas one patient had morbid obesity and developed staple line leakage. Conclusion: Endoscopic self-expandable metallic stent implantation under fluoroscopic guidance is a low-morbidity and effective procedure for the management of advanced stage tumors of the gastrointestinal tract and the elimination of postoperative complications.en_US
dc.identifier.doi10.5152/turkjsurg.2017.3740
dc.identifier.endpage105en_US
dc.identifier.issn2564-6850
dc.identifier.issn2564-7032
dc.identifier.issue2en_US
dc.identifier.pmid30023972en_US
dc.identifier.scopus2-s2.0-85049777115en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage101en_US
dc.identifier.trdizinid290315en_US
dc.identifier.urihttps://doi.org/10.5152/turkjsurg.2017.3740
dc.identifier.urihttps://search.trdizin.gov.tr/yayin/detay/290315
dc.identifier.urihttps://hdl.handle.net/11616/92503
dc.identifier.volume34en_US
dc.identifier.wosWOS:000440304500006en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakTR-Dizinen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherAvesen_US
dc.relation.ispartofTurkish Journal of Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectLeakageen_US
dc.subjectmetallic stentsen_US
dc.subjectstenosisen_US
dc.subjectupper gastrointestinal tracten_US
dc.titleSelf-expandable metallic stent application for the management of upper gastrointestinal tract diseaseen_US
dc.typeArticleen_US

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