Year 2024 / Volume 116 / Number 9
Letter
Preliminary experience of the use of a self-expanding nititol stent in refractory variceal bleeding: a real-world study

516-517

DOI: 10.17235/reed.2023.10035/2023

María Desirée García García, Teresa Valdés Delgado, Paula Fernández Álvarez, Carmen Lara Romero, Lourdes Grande Santamaría, Maria Cinta Núñez Sousa, Jesús García de la Borbolla Serres, Manuel Rodríguez-Téllez,

Abstract
Background and Aims:The fully-covered self-expanding metal stent (SEMS) has a role in the management of refractory acute variceal haemorrhage. The aim of this study was to evaluate its effectiveness and complications in real-world practice. Patients and methods: An observational, descriptive, multicenter study was carried out. Eight patients with clinically significant portal hypertension who underwent a SEMS were included. Results: SEMS placement controlled acute bleeding in 7 patients with technical success. Stents were removed after a median of 8 days. Rescue transjugular intrahepatic portosystemic shunt was performed around 48 hours after SEMS placement. Four patients survived after successful SEMS removal. The most common adverse event was stent loop in 2 patients. Conclusions: In our experience, SEMS was highly effective in controlling acute refractory variceal bleeding. Bleeding-related mortality rate was probably due to impossibility of TIPS implantation. Stent loop was a common limiting factor.
Share Button
New comment
Comments
No comments for this article
References
1.Pfisterer N, Riedl F, Pachofszky T, et al. Outcomes after placement of a SX-ELLA oesophageal stent for refractory variceal bleeding—A national multicentre study. Liver International. 2019;39(2):290-298. doi:10.1111/liv.13971
2.Téllez L, Guerrero A, Albillos A. Actualización del diagnóstico y el tratamiento de la hipertensión portal en la cirrosis según las recomendaciones de la Conferencia de Consenso de Baveno VII. Revista Espanola de Enfermedades Digestivas. 2022;114(9):534-542. doi:10.17235/reed.2022.8868/2022
3.Khan S, Gilhotra R, Di Jiang C, et al. The role of a novel self-expanding metal stent in variceal bleeding: a multicenter Australian and New Zealand experience. Endosc Int Open. 2022;10(03):E238-E245. doi:10.1055/a-1729-0104
4.Drastich P, Brezina J, Sperl J, Frankova S, Benes M, Spicak J. Sa1600 Treatment of Uncontrollable Acute Variceal Bleeding With Self-Expanding Metal Stent: A Single Center Experience. Gastroenterology. 2016;150(4):S339. doi:10.1016/s0016-5085(16)31190-8
5.McCarty TR, Njei B. Self-expanding metal stents for acute refractory esophageal variceal bleeding: A systematic review and meta-analysis. Digestive Endoscopy. 2016;28(5):539-547. doi:10.1111/den.12626
Citation tools
García García M, Valdés Delgado T, Fernández Álvarez P, Lara Romero C, Grande Santamaría L, Núñez Sousa M, et all. Preliminary experience of the use of a self-expanding nititol stent in refractory variceal bleeding: a real-world study. 10035/2023


Download to a citation manager

Download the citation for this article by clicking on one of the following citation managers:

Metrics
This article has received 554 visits.
This article has been downloaded 60 times.

Statistics from Dimensions


Statistics from Plum Analytics

Publication history

Received: 23/10/2023

Accepted: 27/10/2023

Online First: 06/11/2023

Published: 09/09/2024

Article Online First time: 14 days

Article editing time: 322 days


Share
This article hasn't been rated yet.
Reader rating:
Valora este artículo:




Asociación Española de Ecografía Digestiva Sociedad Española de Endoscopia Digestiva Sociedad Española de Patología Digestiva
The Spanish Journal of Gastroenterology is the official organ of the Sociedad Española de Patología Digestiva, the Sociedad Española de Endoscopia Digestiva and the Asociación Española de Ecografía Digestiva
Cookie policy Privacy Policy Legal Notice © Copyright 2024 y Creative Commons. The Spanish Journal of Gastroenterology