Temporary placement of an expandable polyester silicone-covered stent for treatment of refractory benign esophageal strictures

Alessandro Repici, Massimo Conio, Claudio De Angelis, Edda Battaglia, Alessandro Musso, Rinaldo Pellicano, Matteo Goss, Giovanna Venezia, Mario Rizzetto, Giorgio Saracco

Research output: Contribution to journalArticle

184 Citations (Scopus)

Abstract

Background: Benign, refractory esophageal strictures are an important therapeutic challenge. Metal stents occasionally have been used, but results have been disappointing. The present study assessed the safety and the efficacy of temporary placement of the new expandable polyester silicone-covered stent for management of problematic esophageal strictures. Methods: Fifteen patients with benign esophageal strictures were treated by temporary (6 weeks) placement of an expandable polyester silicone-covered stent. All patients had previously been treated, unsuccessfully, by repetitive endoscopic dilation. Results: Stent placement was successful in all patients. There was no procedure-related complication. Dilation with over-the-guidewire polyvinyl dilators was required before stent placement. With the stent in situ, dysphagia completely resolved in all patients. Six weeks after placement, one stent was found to have migrated into the stomach. In the remaining patients, the stent was easily removed with a foreign body forceps. The pretreatment dysphagia score was 3 (range 2-4); the post-treatment score was 1 (range 0-1) (p <0.0005). Long-term resolution (mean follow-up 22.7 [2.6] months) of the stricture was achieved in 12 patients (80%). The treatment failed in 3 patients, all of whom continue to require periodic dilation. Conclusions: In patients with benign esophageal strictures refractory to conventional dilation, temporary placement of a removable expandable polyester silicone-covered stent may lead to long-term relief of dysphagia with minimal morbidity.

Original languageEnglish
Pages (from-to)513-519
Number of pages7
JournalGastrointestinal Endoscopy
Volume60
Issue number4
DOIs
Publication statusPublished - Oct 2004

Fingerprint

Esophageal Stenosis
Polyesters
Silicones
Stents
Dilatation
Deglutition Disorders
Therapeutics
Polyvinyls
Foreign Bodies
Surgical Instruments
Stomach
Pathologic Constriction
Metals
Morbidity
Safety

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Temporary placement of an expandable polyester silicone-covered stent for treatment of refractory benign esophageal strictures. / Repici, Alessandro; Conio, Massimo; De Angelis, Claudio; Battaglia, Edda; Musso, Alessandro; Pellicano, Rinaldo; Goss, Matteo; Venezia, Giovanna; Rizzetto, Mario; Saracco, Giorgio.

In: Gastrointestinal Endoscopy, Vol. 60, No. 4, 10.2004, p. 513-519.

Research output: Contribution to journalArticle

Repici, A, Conio, M, De Angelis, C, Battaglia, E, Musso, A, Pellicano, R, Goss, M, Venezia, G, Rizzetto, M & Saracco, G 2004, 'Temporary placement of an expandable polyester silicone-covered stent for treatment of refractory benign esophageal strictures', Gastrointestinal Endoscopy, vol. 60, no. 4, pp. 513-519. https://doi.org/10.1016/S0016-5107(04)01882-6
Repici, Alessandro ; Conio, Massimo ; De Angelis, Claudio ; Battaglia, Edda ; Musso, Alessandro ; Pellicano, Rinaldo ; Goss, Matteo ; Venezia, Giovanna ; Rizzetto, Mario ; Saracco, Giorgio. / Temporary placement of an expandable polyester silicone-covered stent for treatment of refractory benign esophageal strictures. In: Gastrointestinal Endoscopy. 2004 ; Vol. 60, No. 4. pp. 513-519.
@article{544cdac702ba43f381d9cb3e7e46fe14,
title = "Temporary placement of an expandable polyester silicone-covered stent for treatment of refractory benign esophageal strictures",
abstract = "Background: Benign, refractory esophageal strictures are an important therapeutic challenge. Metal stents occasionally have been used, but results have been disappointing. The present study assessed the safety and the efficacy of temporary placement of the new expandable polyester silicone-covered stent for management of problematic esophageal strictures. Methods: Fifteen patients with benign esophageal strictures were treated by temporary (6 weeks) placement of an expandable polyester silicone-covered stent. All patients had previously been treated, unsuccessfully, by repetitive endoscopic dilation. Results: Stent placement was successful in all patients. There was no procedure-related complication. Dilation with over-the-guidewire polyvinyl dilators was required before stent placement. With the stent in situ, dysphagia completely resolved in all patients. Six weeks after placement, one stent was found to have migrated into the stomach. In the remaining patients, the stent was easily removed with a foreign body forceps. The pretreatment dysphagia score was 3 (range 2-4); the post-treatment score was 1 (range 0-1) (p <0.0005). Long-term resolution (mean follow-up 22.7 [2.6] months) of the stricture was achieved in 12 patients (80{\%}). The treatment failed in 3 patients, all of whom continue to require periodic dilation. Conclusions: In patients with benign esophageal strictures refractory to conventional dilation, temporary placement of a removable expandable polyester silicone-covered stent may lead to long-term relief of dysphagia with minimal morbidity.",
author = "Alessandro Repici and Massimo Conio and {De Angelis}, Claudio and Edda Battaglia and Alessandro Musso and Rinaldo Pellicano and Matteo Goss and Giovanna Venezia and Mario Rizzetto and Giorgio Saracco",
year = "2004",
month = "10",
doi = "10.1016/S0016-5107(04)01882-6",
language = "English",
volume = "60",
pages = "513--519",
journal = "Gastrointestinal Endoscopy",
issn = "0016-5107",
publisher = "Mosby Inc.",
number = "4",

}

TY - JOUR

T1 - Temporary placement of an expandable polyester silicone-covered stent for treatment of refractory benign esophageal strictures

AU - Repici, Alessandro

AU - Conio, Massimo

AU - De Angelis, Claudio

AU - Battaglia, Edda

AU - Musso, Alessandro

AU - Pellicano, Rinaldo

AU - Goss, Matteo

AU - Venezia, Giovanna

AU - Rizzetto, Mario

AU - Saracco, Giorgio

PY - 2004/10

Y1 - 2004/10

N2 - Background: Benign, refractory esophageal strictures are an important therapeutic challenge. Metal stents occasionally have been used, but results have been disappointing. The present study assessed the safety and the efficacy of temporary placement of the new expandable polyester silicone-covered stent for management of problematic esophageal strictures. Methods: Fifteen patients with benign esophageal strictures were treated by temporary (6 weeks) placement of an expandable polyester silicone-covered stent. All patients had previously been treated, unsuccessfully, by repetitive endoscopic dilation. Results: Stent placement was successful in all patients. There was no procedure-related complication. Dilation with over-the-guidewire polyvinyl dilators was required before stent placement. With the stent in situ, dysphagia completely resolved in all patients. Six weeks after placement, one stent was found to have migrated into the stomach. In the remaining patients, the stent was easily removed with a foreign body forceps. The pretreatment dysphagia score was 3 (range 2-4); the post-treatment score was 1 (range 0-1) (p <0.0005). Long-term resolution (mean follow-up 22.7 [2.6] months) of the stricture was achieved in 12 patients (80%). The treatment failed in 3 patients, all of whom continue to require periodic dilation. Conclusions: In patients with benign esophageal strictures refractory to conventional dilation, temporary placement of a removable expandable polyester silicone-covered stent may lead to long-term relief of dysphagia with minimal morbidity.

AB - Background: Benign, refractory esophageal strictures are an important therapeutic challenge. Metal stents occasionally have been used, but results have been disappointing. The present study assessed the safety and the efficacy of temporary placement of the new expandable polyester silicone-covered stent for management of problematic esophageal strictures. Methods: Fifteen patients with benign esophageal strictures were treated by temporary (6 weeks) placement of an expandable polyester silicone-covered stent. All patients had previously been treated, unsuccessfully, by repetitive endoscopic dilation. Results: Stent placement was successful in all patients. There was no procedure-related complication. Dilation with over-the-guidewire polyvinyl dilators was required before stent placement. With the stent in situ, dysphagia completely resolved in all patients. Six weeks after placement, one stent was found to have migrated into the stomach. In the remaining patients, the stent was easily removed with a foreign body forceps. The pretreatment dysphagia score was 3 (range 2-4); the post-treatment score was 1 (range 0-1) (p <0.0005). Long-term resolution (mean follow-up 22.7 [2.6] months) of the stricture was achieved in 12 patients (80%). The treatment failed in 3 patients, all of whom continue to require periodic dilation. Conclusions: In patients with benign esophageal strictures refractory to conventional dilation, temporary placement of a removable expandable polyester silicone-covered stent may lead to long-term relief of dysphagia with minimal morbidity.

UR - http://www.scopus.com/inward/record.url?scp=4744346508&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=4744346508&partnerID=8YFLogxK

U2 - 10.1016/S0016-5107(04)01882-6

DO - 10.1016/S0016-5107(04)01882-6

M3 - Article

C2 - 15472671

AN - SCOPUS:4744346508

VL - 60

SP - 513

EP - 519

JO - Gastrointestinal Endoscopy

JF - Gastrointestinal Endoscopy

SN - 0016-5107

IS - 4

ER -