Covered self-expanding metal stents for the treatment of refractory esophageal nonvariceal bleeding: a case series

J Laparoendosc Adv Surg Tech A. 2014 Oct;24(10):713-7. doi: 10.1089/lap.2013.0551. Epub 2014 Jul 21.

Abstract

Introduction: This study aimed to assess the safety and effectiveness of covered self-expanding metal stents for the treatment of nonvariceal esophageal bleeding in patients for whom routine therapies have failed.

Patients and methods: A retrospective analysis was conducted on patients with esophageal bleeding in our hospital. Data on hemostatic effects and complications were collected from patients who underwent esophageal stenting.

Results: In total, 4 patients were treated with five stents. In all 4 patients, the placement of esophageal stents immediately stopped the ongoing bleeding. One patient experienced recurrent bleeding 4 days after the removal of the first stent. Hemostasis was achieved after the insertion of a second stent. No stent-related complications occurred during or after stent implantation in the other 3 patients.

Conclusions: The implantation of a covered self-expandable metal stent is a safe and effective alternative to treat acute, nonvariceal esophageal bleeding after routine therapies have failed.

MeSH terms

  • Acute Disease
  • Adult
  • Aged
  • Device Removal
  • Esophageal Diseases / etiology
  • Esophageal Diseases / therapy*
  • Female
  • Gastrointestinal Hemorrhage / etiology
  • Gastrointestinal Hemorrhage / therapy*
  • Humans
  • Male
  • Metals
  • Middle Aged
  • Retrospective Studies
  • Stents*

Substances

  • Metals