A novel fully covered double-bump stent for staple line leaks after bariatric surgery: a retrospective analysis
| العنوان: | A novel fully covered double-bump stent for staple line leaks after bariatric surgery: a retrospective analysis |
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| المؤلفون: | Gerardus P. M. Houben, Marloes Emous, Arnold W. J. M. van de Laar, Klaas van der Linde, Thomas C. C. Boerlage, Paul Fockens, Marcel J M Groenen, Rogier P. Voermans |
| المساهمون: | Amsterdam Gastroenterology Endocrinology Metabolism, Gastroenterology and Hepatology |
| المصدر: | Surgical Endoscopy Surgical endoscopy, 32(7), 3174-3180. Springer New York |
| سنة النشر: | 2017 |
| مصطلحات موضوعية: | Male, medicine.medical_specialty, Sleeve gastrectomy, Roux-en-Y gastric bypass, Fistula, medicine.medical_treatment, Self Expandable Metallic Stents, Anastomotic Leak, Article, 03 medical and health sciences, 0302 clinical medicine, Coated Materials, Biocompatible, Foreign-Body Migration, Internal medicine, Surgical Stapling, medicine, Stent, Humans, cardiovascular diseases, Adverse effect, Retrospective Studies, Bariatric surgery, business.industry, Retrospective cohort study, Endoscopy, Hepatology, Middle Aged, medicine.disease, equipment and supplies, Surgery, Staple line leakage, surgical procedures, operative, 030220 oncology & carcinogenesis, Staple line, 030211 gastroenterology & hepatology, Female, business, Abdominal surgery |
| الوصف: | Background Staple line leakage after bariatric surgery can be treated by endoscopic placement of a self-expandable stent. The success rate of stent placement is generally high, but migration is a frequent adverse event that hampers successful treatment. The Niti-S Beta stent is a fully covered double-bump stent that was specifically designed to prevent migration. This study aimed to evaluate the effectiveness and adverse event rate of the Niti-S Beta stent. Methods A retrospective study was performed in three high-volume bariatric centers. All consecutive patients between 2009 and 2016 who underwent placement of a Beta stent for staple line leakage were included. Primary outcome was resolution of the leakage; secondary outcome was the adverse event rate including migration. Results Thirty-eight patients were included. Twenty-five (66%) had resolution of the leakage. Success rate was higher in patients who were treated with implantation of a Beta stent as initial treatment (100%) than in patients who were treated with a stent after revisional surgery had failed (55%, p = 0.013). Migration occurred in 12 patients (32%). There were two severe adverse events requiring surgical intervention, including a bleeding from an aorto-esophageal fistula. Conclusions The success rate and the migration rate of the Beta stent seem comparable to other stents in this retrospective study. Despite the novel double-bump structure of the stent, the migration rate does not seem to be decreased. |
| تدمد: | 1432-2218 0930-2794 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::d31e2583f6b143eb648cd863dff78702 https://pubmed.ncbi.nlm.nih.gov/29344787 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....d31e2583f6b143eb648cd863dff78702 |
| قاعدة البيانات: | OpenAIRE |
Find this article in full text from Springer Verlag. | تدمد: | 14322218 09302794 |
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