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Outcome and complications of long-term self-expanding esophageal stenting

Authors

  • S. F. Schoppmann,

    Corresponding author
    1. Department of Surgery, Upper-GI-Research, Medical University of Vienna, Vienna, Austria
      Professor Sebastian F. Schoppmann, Department of Surgery, University of Vienna, Waehringer Guertel 18-20, A-1090 Vienna, Austria. Email: sebastian.schoppmann@meduniwien.ac.at
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  • F. B. Langer,

    1. Department of Surgery, Upper-GI-Research, Medical University of Vienna, Vienna, Austria
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  • G. Prager,

    1. Department of Surgery, Upper-GI-Research, Medical University of Vienna, Vienna, Austria
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  • J. Zacherl

    1. Department of Surgery, Upper-GI-Research, Medical University of Vienna, Vienna, Austria
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  • The authors declare to have no conflicts of interest.

  • Authors contribution: SFS: 50%, FBL:10%, GP: 10%, and JZ: 30%.

Professor Sebastian F. Schoppmann, Department of Surgery, University of Vienna, Waehringer Guertel 18-20, A-1090 Vienna, Austria. Email: sebastian.schoppmann@meduniwien.ac.at

Summary

Esophageal stenting with self-expanding plastic or covered metal stents is believed to be safe and effective. As data on the outcome of patients with long-term stenting are not available, this study was conducted to evaluate the safety and efficacy of long-term esophageal stenting. From 2002 to 2008, 70 patients with long-term esophageal stenting for various indications from a prospective database were included into further analysis. The median stent period was 297 (124–1980) days during a mean follow-up time of 55 ± 52.4 months. Overall complication rate was 30% with a primary success rate of 97.2%. The stent-related total reintervention rate was 17.1%. There were no correlations between stent characteristics and the risk of complication or migration. No stent-related death was observed. Our data provide evidence that long-period esophageal stenting is safe and effective for various indications.

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