6533b82bfe1ef96bd128e322

RESEARCH PRODUCT

SELF-EXPANDABLE METAL STENT PLACEMENT FOR CLOSURE OF A LEAK AFTER TOTAL GASTRECTOMY FOR GASTRIC CANCER: REPORT ON THREE CASES AND REVIEW OF THE LITERATURE

Marco MessinaMassimiliano SpadaGiovanni TomaselloFrancesca RossiTiziana FacellaPier Enrico MarchesaEmanuele SinagraEnnio La RoccaDario RaimondoGiancarlo PompeiAttilio Ignazio Lo MonteRosario SquatritoGuido Martorana

subject

Historymedicine.medical_specialtyLeakSettore MED/12 - GastroenterologiaPolymers and PlasticsSelf expandablebusiness.industrymedicine.medical_treatmentCancerCase ReportAnastomosismedicine.diseaseIndustrial and Manufacturing EngineeringSurgeryStent placementSettore MED/18 - Chirurgia GeneraleEsophageal stentmedicinelcsh:Diseases of the digestive system. GastroenterologyGastrectomylcsh:RC799-869Business and International ManagementProspective cohort studybusinessGastric cencer self-expandle metal stent palliation endoscopy

description

In the setting of the curative oncological surgery, the gastric surgery is exposed to complicated upper gastrointestinal leaks, and consequently the management of this problem has become more critically focused than was previously possible. We report here three cases of placement of a partially silicone-coated SEMS (Evolution Controlled Release Esophageal Stent System, Cook Medical, Winston-Salem, NC, USA) in patients who underwent total gastrectomy with Roux-en-Y end-to-side esophagojejunostomy for a gastric adenocarcinoma. The promising results of our report, despite the small number of patients, suggest that early stenting (through a partially silicone-coated SEMS) is a feasible alternative to surgical treatment in this subset of patients. In fact, in the treatment of leakage after total gastrectomy, plastic stents and totally covered metallic stents may not adhere sufficiently to the esophagojejunal walls and, as a result, migrate beyond the anastomosis. However, prospective studies with a larger number of patients might assess the real effectiveness and safety of this procedure.

yearjournalcountryeditionlanguage
2014-10-01
10.1155/2014/409283http://hdl.handle.net/10447/121619