مراجعة
Prophylactic stenting for esophageal stricture prevention after endoscopic submucosal dissection.
| العنوان: | Prophylactic stenting for esophageal stricture prevention after endoscopic submucosal dissection. |
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| المؤلفون: | Shi KD; Ke-Da Shi, Feng Ji, Department of Gastroenterology, First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou 310000, Zhejiang Province, China., Ji F; Ke-Da Shi, Feng Ji, Department of Gastroenterology, First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou 310000, Zhejiang Province, China. |
| المصدر: | World journal of gastroenterology [World J Gastroenterol] 2017 Feb 14; Vol. 23 (6), pp. 931-934. |
| نوع المنشور: | Editorial; Review |
| اللغة: | English |
| بيانات الدورية: | Publisher: Baishideng Publishing Group Country of Publication: United States NLM ID: 100883448 Publication Model: Print Cited Medium: Internet ISSN: 2219-2840 (Electronic) Linking ISSN: 10079327 NLM ISO Abbreviation: World J Gastroenterol Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2014- : Pleasanton, CA : Baishideng Publishing Group Original Publication: Beijing : WJG Press, c1998- |
| مواضيع طبية MeSH: | Absorbable Implants* , Self Expandable Metallic Stents*, Endoscopic Mucosal Resection/*adverse effects , Esophageal Neoplasms/*surgery , Esophageal Stenosis/*prevention & control , Esophagoscopy/*adverse effects , Postoperative Complications/*therapy, Esophageal Stenosis/etiology ; Humans ; Postoperative Complications/etiology ; Quality of Life |
| مستخلص: | Endoscopic submucosal dissection (ESD) of superficial esophageal cancer has been increasingly used as an alternative to surgery because it is minimally invasive and has a high rate of en bloc resection. However, a high rate of esophageal stricture is observed after ESD for large lesions, which can dramatically decrease the patient's quality of life. Stricture prevention is necessary to allow for endoscopic therapy to expand. We, herein, review the most recent evidence and discuss the role of the metallic self-expandable stent and the biodegradable stent in esophageal stricture prevention. Limited studies suggested that prophylactic stenting could reduce the stricture rate without increasing the number of complications. In addition, the number of bougie dilation procedures was significantly lower with stent placement. Esophageal stenting is a promising option for post-ESD stricture prevention. However, current evidence is too preliminary to formulate practice standards. Future studies are needed to further validate the efficacy and safety of prophylactic stenting and determine the best strategy for stricture prevention. Stent migration is the most common complication. A new stent that has advantages of a low migration rate and minimal tissue reaction will need to be developed. Therefore, randomized controlled trials with long-term follow-up periods are required before prophylactic stenting could be considered a valid option to prevent post-ESD stricture. Competing Interests: Conflict-of-interest statement: Both authors declare no conflict of interest related to this publication. |
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| فهرسة مساهمة: | Keywords: Biodegradable stent; Endoscopic submucosal dissection; Esophageal stricture; Metallic self-expandable stent; Stricture prevention |
| تواريخ الأحداث: | Date Created: 20170302 Date Completed: 20170811 Latest Revision: 20220317 |
| رمز التحديث: | 20231215 |
| مُعرف محوري في PubMed: | PMC5311102 |
| DOI: | 10.3748/wjg.v23.i6.931 |
| PMID: | 28246466 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 2219-2840 |
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| DOI: | 10.3748/wjg.v23.i6.931 |