TY  - JOUR
A1  - Waidmann, Oliver
A1  - Trojan, Jörg
A1  - Friedrich-Rust, Mireen
A1  - Sarrazin, Christoph
A1  - Bechstein, Wolf Otto
A1  - Ulrich, Frank
A1  - Zeuzem, Stefan
A1  - Albert, Jörg Gerhard
T1  - SEMS vs cSEMS in duodenal and small bowel obstruction : high risk of migration in the covered stent group
T2  - World journal of gastroenterology
N2  - Aim: To compare clinical success and complications of uncovered self-expanding metal stents (SEMS) vs covered SEMS (cSEMS) in obstruction of the small bowel.
Methods: Technical success, complications and outcome of endoscopic SEMS or cSEMS placement in tumor related obstruction of the duodenum or jejunum were retrospectively assessed. The primary end points were rates of stent migration and overgrowth. Secondary end points were the effect of concomitant biliary drainage on migration rate and overall survival. The data was analyzed according to the Strengthening the Reporting of Observational Studies in Epidemiology guidelines.
Results: Thirty-two SEMS were implanted in 20 patients. In all patients, endoscopic stent implantation was successful. Stent migration was observed in 9 of 16 cSEMS (56%) in comparison to 0/16 SEMS (0%) implantations (P = 0.002). Stent overgrowth did not significantly differ between the two stent types (SEMS: 3/16, 19%; cSEMS: 2/16, 13%). One cSEMS dislodged and had to be recovered from the jejunum by way of laparotomy. Time until migration between SEMS and cSEMS in patients with and without concomitant biliary stents did not significantly differ (HR = 1.530, 95%CI 0.731-6.306; P = 0.556). The mean follow-up was 57 ± 71 d (range: 1-275 d).
Conclusion: SEMS and cSEMS placement is safe in small bowel tumor obstruction. However, cSEMS is accompanied with a high rate of migration in comparison to uncovered SEMS.
KW  - Endoscopy
KW  - Digestive system
KW  - Intestinal neoplasms
KW  - Self-expandable metal stents
KW  - Tumor obstruction
KW  - Self-expandable metal stents complications
Y1  - 2013
UR  - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/32005
UR  - https://nbn-resolving.org/urn:nbn:de:hebis:30:3-320055
SN  - 2219-2840
SN  - 1007-9327
N1  - © 1995-2013 Baishideng Publishing Group Co., Limited. Articles published by this Open-Access journal are distributed under the terms of the Creative Commons Attribution Non-commercial License, which permits use, distribution, and reproduction in any medium, provided the original work is properly cited, the use is non commercial and is otherwise in compliance with the license.
VL  - 19
IS  - 37
SP  - 6199
EP  - 6206
PB  - WJG Press
CY  - Beijing
ER  -