A new fully covered stent with antimigration properties for the palliation of malignant dysphagia: a prospective cohort study.

Abstract:

BACKGROUND:Fully covered stents are designed to resist tissue ingrowth that is often seen with partially covered stents. An issue with fully covered stents is the risk of migration. OBJECTIVE:We aimed to determine efficacy, recurrent dysphagia, and complications of the SX-ELLA stent Esophageal HV, which is fully covered to resist tissue ingrowth and has an antimigration ring to withstand migration. DESIGN:Prospective cohort study. SETTING:Two tertiary referral centers. PATIENTS:Forty-four patients with malignant esophageal strictures from inoperable or metastatic esophageal or gastric cardia cancer (n = 42) or lung cancer (n = 2). INTERVENTIONS:Placement of an SX-ELLA stent. MAIN OUTCOME MEASURES:Functional outcome, recurrent dysphagia, complications, and survival. RESULTS:Dysphagia improved from a median score of 3 (liquids only) before stent placement to 1 (ability to eat some solid food) 4 weeks later (P < .001). Twelve of 44 (Kaplan Meier analysis = 40%) patients developed 18 episodes of recurrent dysphagia of which 6 were caused by stent migration and 2 by tissue overgrowth. In total, 14 episodes of major complications developed in 10 of 44 (Kaplan Meier analysis = 29%) patients, 8 of which were caused by hemorrhage. After a median follow-up of 15 months, 39 patients had died (median survival 110 days), 5 (11%) from hemorrhage. LIMITATIONS:Nonrandomized study design. CONCLUSIONS:Dysphagia caused by esophageal cancer can be successfully palliated by placement of a new, fully covered esophageal stent (SX-ELLA). Although this single-wire braided stent with an antimigration ring is supposed to be less traumatic and to reduce migration, this was not substantiated in this study. Further improvements of stent features are needed to achieve the goals set for this study.

journal_name

Gastrointest Endosc

authors

Uitdehaag MJ,Siersema PD,Spaander MC,Vleggaar FP,Verschuur EM,Steyerberg EW,Kuipers EJ

doi

10.1016/j.gie.2009.09.023

subject

Has Abstract

pub_date

2010-03-01 00:00:00

pages

600-5

issue

3

eissn

0016-5107

issn

1097-6779

pii

S0016-5107(09)02532-2

journal_volume

71

pub_type

杂志文章,多中心研究
  • Performance, patient acceptance, appropriateness of indications and potential influence on outcome of EUS: a prospective study in 397 consecutive patients.

    abstract:BACKGROUND:Although there is a large body of data on the accuracy of endoscopic ultrasonography (EUS) in the diagnosis and staging of various gastroenterological disorders, little has been published on the influence of EUS in the management of patients. Data on the performance of EUS and patient acceptance are also spa...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/s0016-5107(99)70152-5

    authors: Allescher HD,Rösch T,Willkomm G,Lorenz R,Meining A,Classen M

    更新日期:1999-12-01 00:00:00

  • Extent of Barrett's metaplasia: a prospective study of the serial change in area of Barrett's measured by quantitative endoscopic imaging.

    abstract:BACKGROUND:An accurate determination of the extent of Barrett's metaplasia is critical to the study of its natural history and response to therapy. Our hypothesis is that area calculations offer advantages over length estimates of Barrett's. METHODS:Changes in both measures and estimates of progression or regression b...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/s0016-5107(97)70173-1

    authors: Kim R,Rose S,Shar AO,Weiner M,Reynolds JC

    更新日期:1997-06-01 00:00:00

  • Snare cautery debridement prior to Nd:YAG photoablation improves treatment efficiency of broad-based adenomas of the colorectum.

    abstract::Forty-six patients who underwent piecemeal resection of large, sessile villous adenomas followed by immediate laser photoablative therapy are presented. In contrast to previously published series utilizing laser alone, prior snare resection of such lesions provides copious tissue for histologic analysis, decreases the...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/s0016-5107(89)72793-0

    authors: Low DE,Kozarek RA

    更新日期:1989-07-01 00:00:00

  • Proximal migration of biliary stents: attempted endoscopic retrieval in forty-one patients.

    abstract:BACKGROUND:Proximal migration of a biliary stent is an uncommon event, but its management can present a technical challenge to the therapeutic endoscopist. METHODS:We reviewed the methods that have been used for retrieval of proximally migrated biliary stents in a referral endoscopy center. RESULTS:Forty-four cases w...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/s0016-5107(95)70003-x

    authors: Tarnasky PR,Cotton PB,Baillie J,Branch MS,Affronti J,Jowell P,Guarisco S,England RE,Leung JW

    更新日期:1995-12-01 00:00:00

  • The role of colonoscopy in the diagnosis of appendicitis in patients with atypical presentations.

    abstract:BACKGROUND:Acute appendicitis is one of the most common causes of acute abdomen. Despite recent advances in radiologic imaging, the diagnosis of acute appendicitis may be difficult on occasion. The aims of this study were to describe the colonoscopic features of appendicitis and to determine whether colonoscopy can be ...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/s0016-5107(02)70036-9

    authors: Chang HS,Yang SK,Myung SJ,Jung HY,Hong WS,Kim JH,Min YI,Ha HK,Kim JC,Yu CS,Kim HC,Kim JS

    更新日期:2002-09-01 00:00:00

  • ASGE guideline on the role of endoscopy for bleeding from chronic radiation proctopathy.

    abstract::Chronic radiation proctopathy is a common sequela of radiation therapy for malignancies in the pelvic region. A variety of medical and endoscopic therapies have been used for the management of bleeding from chronic radiation proctopathy. In this guideline, we reviewed the results of a systematic search of the literatu...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章,实务指引

    doi:10.1016/j.gie.2019.04.234

    authors: Lee JK,Agrawal D,Thosani N,Al-Haddad M,Buxbaum JL,Calderwood AH,Fishman DS,Fujii-Lau LL,Jamil LH,Jue TL,Khashab MA,Law JK,Naveed M,Qumseya BJ,Sawhney MS,Storm AC,Yang J,Wani SB

    更新日期:2019-08-01 00:00:00

  • An improved technique for accessory papilla cannulation in pancreas divisum.

    abstract::Cannulation of the accessory papilla with dorsal pancreas ductography was accomplished in 13 of 15 consecutive cases of pancreas divisum. When routine cannulation of the main pancreatic papilla fails to produce a pancreatogram or yields only a ventral pancreas, the use of intravenous secretin and a 23-gauge needle cat...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/s0016-5107(85)71956-6

    authors: O'Connor KW,Lehman GA

    更新日期:1985-02-01 00:00:00

  • Jumbo biopsy forceps versus cold snares for removing diminutive colorectal polyps: a prospective randomized controlled trial.

    abstract:BACKGROUND AND AIMS:Cold snare polypectomy (CSP) and jumbo forceps polypectomy (JFP) have been shown to be effective for removing diminutive colorectal polyps (DCPs) (≤5 mm). However, no study has compared complete resection rates between CSP and JFP for DCPs. The aim of this study was to compare the efficacy and safet...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.gie.2019.01.016

    authors: Huh CW,Kim JS,Choi HH,Maeng IS,Jun SY,Kim BW

    更新日期:2019-07-01 00:00:00

  • Endoscopic photodynamic diagnosis: oral aminolevulinic acid is a marker of GI cancer and dysplastic lesions.

    abstract:BACKGROUND:Dysplasia and early cancer of the upper gastrointestinal (GI) tract often are undetected at white-light endoscopy. We describe oral administration of 5-aminolevulinic acid for the in vivo photodynamic diagnosis of premalignant and malignant lesions during endoscopy. METHODS:Four patients with known gastric ...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/s0016-5107(99)70232-4

    authors: Mayinger B,Reh H,Hochberger J,Hahn EG

    更新日期:1999-08-01 00:00:00

  • Risk factors for recurrence of primary bile duct stones after endoscopic biliary sphincterotomy.

    abstract:BACKGROUND:Endoscopic biliary sphincterotomy (EST) is a well-established procedure for bile duct stone extraction. Bile duct stones can be classified as primary or secondary. However, few data are available on the recurrence of primary and secondary bile duct stones after EST. Therefore risk factors for the recurrence ...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1067/mge.2001.115335

    authors: Kim DI,Kim MH,Lee SK,Seo DW,Choi WB,Lee SS,Park HJ,Joo YH,Yoo KS,Kim HJ,Min YI

    更新日期:2001-07-01 00:00:00

  • Transluminal endosurgery: single lumen access anastomotic device for flexible endoscopy.

    abstract:BACKGROUND:Forming anastomoses between two hollow organs at flexible endoscopy might reduce the need for surgery for obstructing malignancy. Current methods require access to both lumens. The aim of this work was to develop methods of forming an anastomosis at flexible endoscopy, such as a gastrojejunostomy or cholecys...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章,评审

    doi:10.1016/s0016-5107(03)02006-6

    authors: Fritscher-Ravens A,Mosse CA,Mukherjee D,Mills T,Park PO,Swain CP

    更新日期:2003-10-01 00:00:00

  • Comparison of Foley catheter as a replacement gastrostomy tube with commercial replacement gastrostomy tube: a prospective randomized trial.

    abstract::Percutaneous endoscopic gastrostomy (PEG) provides a non-surgical alternative to long-term enteral feeding. The gastrostomy tube, however, may deteriorate, malfunction, or be accidentally expelled, requiring replacement. A commercial gastrostomy tube is commonly used for replacement. However, a commercial replacement ...

    journal_title:Gastrointestinal endoscopy

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/s0016-5107(94)70165-2

    authors: Kadakia SC,Cassaday M,Shaffer RT

    更新日期:1994-03-01 00:00:00

  • Can rebamipide and proton pump inhibitor combination therapy promote the healing of endoscopic submucosal dissection-induced ulcers? A randomized, prospective, multicenter study.

    abstract:BACKGROUND:There has been no consensus regarding the optimal treatment durations and drug regimens in patients with endoscopic submucosal dissection (ESD)-induced ulcers. OBJECTIVE:To assess the efficacy of proton pump inhibitor (PPI) and rebamipide combination therapy compared with PPI monotherapy for ESD-induced ulc...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1016/j.gie.2011.11.004

    authors: Shin WG,Kim SJ,Choi MH,Kim KO,Jang HJ,Park CH,Baek IH,Kim KH,Baik GH,Kae SH,Kim JH,Kim HY

    更新日期:2012-04-01 00:00:00

  • Endoscopic ultrasonography in the diagnosis of colorectal cancer invasion.

    abstract::Endoscopic ultrasonography was pre-operatively performed in 164 patients with colorectal cancer, and the resected specimens confirmed to be cancerous histologically. Normal colorectal wall was visualized by endoscopic ultrasonography as a five-layered structure. The first, third, and fifth layers were hyperechoic, and...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/s0016-5107(93)70163-7

    authors: Cho E,Nakajima M,Yasuda K,Ashihara T,Kawai K

    更新日期:1993-07-01 00:00:00

  • Mucosal pseudolipomatosis: an air pressure-related colonoscopy complication.

    abstract::Mucosal pseudolipomatosis is a recently described colonoscopic finding, most likely caused by intramucosal air. We describe four asymptomatic patients with this lesion which completely resolved 3 weeks later on repeat colonoscopy. This is a benign, transient lesion with distinct endoscopic and histologic findings. The...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/s0016-5107(89)72716-4

    authors: Waring JP,Manne RK,Wadas DD,Sanowski RA

    更新日期:1989-03-01 00:00:00

  • Endoscopic gallbladder drainage for management of acute cholecystitis.

    abstract:BACKGROUND:Nonoperative gallbladder drainage methods for acute cholecystitis include percutaneous transhepatic gallbladder drainage and percutaneous transhepatic gallbladder aspiration, endoscopic nasogallbladder drainage and gallbladder stenting via a transpapillary endoscopic approach, and EUS-guided nasogallbladder ...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章,评审

    doi:10.1016/j.gie.2010.01.026

    authors: Itoi T,Coelho-Prabhu N,Baron TH

    更新日期:2010-05-01 00:00:00

  • Efficacy and safety of 1-step transnasal endoscopic nasobiliary drainage for the treatment of acute cholangitis in patients with previous endoscopic sphincterotomy (with videos).

    abstract:BACKGROUND:Endoscopic nasobiliary drainage (NBD) for the treatment of acute cholangitis is an accepted method. A recently developed ultrathin transnasal videoendoscope is minimally invasive, even for patients who are critically ill. OBJECTIVE:To evaluate the clinical efficacy and safety of 1-step NBD by transnasal vid...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2007.11.050

    authors: Itoi T,Kawai T,Sofuni A,Itokawa F,Tsuchiya T,Kurihara T,Kusano C,Saito Y,Gotoda T

    更新日期:2008-07-01 00:00:00

  • Antral nodularity identifies children infected with Helicobacter pylori with higher grades of gastric inflammation.

    abstract:BACKGROUND:The endoscopic pattern of antral nodularity is a peculiar finding in children with Helicobacter pylori infection. The aim of this study was to determine whether this finding is related to more severe gastritis. METHODS:One hundred seventy-four consecutive children (median age 8.7 years) referred for gastros...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1067/mge.2001.111043

    authors: Luzza F,Pensabene L,Imeneo M,Mancuso M,Contaldo A,Giancotti L,La Vecchia AM,Costa MC,Strisciuglio P,Docimo C,Pallone F,Guandalini S

    更新日期:2001-01-01 00:00:00

  • Yield of prospective, noninvasive evaluation of the common bile duct combined with selective ERCP/sphincterotomy in 1390 consecutive laparoscopic cholecystectomy patients.

    abstract::The role of noninvasive evaluation of the common bile duct combined with selective preoperative endoscopic retrograde cholangiography and sphincterotomy was prospectively evaluated in 1390 consecutive patients subjected to laparoscopic cholecystectomy. Preoperative common bile duct testing included liver chemistries, ...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/s0016-5107(95)70235-0

    authors: Rieger R,Wayand W

    更新日期:1995-07-01 00:00:00

  • A retrograde-viewing device improves detection of adenomas in the colon: a prospective efficacy evaluation (with videos).

    abstract:BACKGROUND:Colonoscopy may fail to detect neoplasia located on the proximal sides of haustral folds and flexures. The Third Eye Retroscope (TER) provides a simultaneous retrograde view that complements the forward view of a standard colonoscope. OBJECTIVE:To evaluate the added benefit for polyp detection during colono...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2009.09.043

    authors: Waye JD,Heigh RI,Fleischer DE,Leighton JA,Gurudu S,Aldrich LB,Li J,Ramrakhiani S,Edmundowicz SA,Early DS,Jonnalagadda S,Bresalier RS,Kessler WR,Rex DK

    更新日期:2010-03-01 00:00:00

  • Combined use of a magnifying endoscope with a narrow band imaging system and a multibending endoscope for en bloc EMR of early stage gastric cancer.

    abstract:BACKGROUND:En bloc EMR is performed in Japan as a curative treatment for early stage gastric cancer. However, current methods of EMR are technically difficult and require proficiency in determining the extent of the cancer. This study assessed the feasibility of a new method to obviate these problems and to facilitate ...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/s0016-5107(04)01285-4

    authors: Sumiyama K,Kaise M,Nakayoshi T,Kato M,Mashiko T,Uchiyama Y,Goda K,Hino S,Nakamura Y,Matsuda K,Mochizuki K,Kawamura M,Tajiri H

    更新日期:2004-07-01 00:00:00

  • Narrow-band imaging system with magnifying endoscopy for superficial esophageal lesions.

    abstract:BACKGROUND:By assessing the intrapapillary capillary loop in esophageal mucosa, magnifying endoscopy can play an important role in the evaluation of superficial esophageal lesions. A newly developed narrow-band imaging system was applied to magnifying endoscopy in a clinical setting; the benefit of the narrow-band imag...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/s0016-5107(03)02532-x

    authors: Yoshida T,Inoue H,Usui S,Satodate H,Fukami N,Kudo SE

    更新日期:2004-02-01 00:00:00

  • EUS in cirrhotic patients with and without prior variceal hemorrhage in comparison with noncirrhotic control subjects.

    abstract:BACKGROUND:Endoscopic ultrasound (EUS) was used to evaluate cirrhotic patients with and without prior variceal hemorrhage. The findings were compared with those of EUS in noncirrhotic control subjects to determine EUS features indicative of cirrhosis and of a risk for variceal hemorrhage. METHODS:Patients with cirrhos...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1067/mge.2000.107297

    authors: Faigel DO,Rosen HR,Sasaki A,Flora K,Benner K

    更新日期:2000-10-01 00:00:00

  • Long-term follow-up of patients with gastric outlet obstruction related to peptic ulcer disease treated with endoscopic balloon dilatation and drug therapy.

    abstract:BACKGROUND:Previous studies suggest that endoscopic balloon dilatation (BD) in gastric outlet obstruction (GOO) related to peptic ulcer disease (PUD) does not achieve long-term remission and most patients require surgery. Most of these studies have not systematically attempted to alter the natural history of the underl...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2006.11.016

    authors: Cherian PT,Cherian S,Singh P

    更新日期:2007-09-01 00:00:00

  • Endoscopic balloon dilation for benign gastric outlet obstruction with or without Helicobacter pylori infection.

    abstract:BACKGROUND:Endoscopic balloon dilation has been used to treat patients with gastric outlet obstruction caused by peptic stricture. This study assessed the role of endoscopic balloon dilation in patients with gastric outlet obstruction with or without Helicobacter pylori infection. METHODS:Consecutive patients seen bet...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/s0016-5107(04)01569-x

    authors: Lam YH,Lau JY,Fung TM,Ng EK,Wong SK,Sung JJ,Chung SS

    更新日期:2004-08-01 00:00:00

  • Bulb biopsies for the diagnosis of celiac disease in pediatric patients.

    abstract:BACKGROUND:Celiac disease (CD) is a gluten-dependent enteropathy. The current standard for diagnosing CD involves obtaining 4 biopsy samples from the descending duodenum. It has been suggested that duodenal bulb biopsies may also be useful. OBJECTIVE:To assess the utility of bulbar biopsies for the diagnosis of CD in ...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2010.05.021

    authors: Mangiavillano B,Masci E,Parma B,Barera G,Viaggi P,Albarello L,Tronconi GM,Mariani A,Testoni S,Santoro T,Testoni PA

    更新日期:2010-09-01 00:00:00

  • Cost-effectiveness of photodynamic therapy for high-grade dysplasia in Barrett's esophagus.

    abstract:BACKGROUND:Photodynamic therapy appears to be effective in ablating high-grade dysplasia in Barrett's esophagus. Our aim was to identify the most effective and cost-effective strategy for managing high-grade dysplasia in Barrett's esophagus without associated endoscopically visible abnormalities. METHODS:By using deci...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/s0016-5107(04)02167-4

    authors: Vij R,Triadafilopoulos G,Owens DK,Kunz P,Sanders GD

    更新日期:2004-11-01 00:00:00

  • Endotherapy versus surgery for early neoplasia in Barrett's esophagus: a meta-analysis.

    abstract:BACKGROUND:Esophagectomy is the conventional treatment for Barrett's esophagus with high-grade dysplasia and intramucosal cancer. Endotherapy is an alternative treatment. OBJECTIVE:To compare the efficacy and safety of these 2 treatments. DESIGN:PubMed, Web of Science, EMBASE, Cochrane Library and momentous meeting a...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章,meta分析,评审

    doi:10.1016/j.gie.2013.08.005

    authors: Wu J,Pan YM,Wang TT,Gao DJ,Hu B

    更新日期:2014-02-01 00:00:00

  • Endoscopic screening for early esophageal cancer by iodine staining in patients with other current or prior primary cancers.

    abstract:BACKGROUND:Although early diagnosis of esophageal carcinoma is an important determinant of outcome, early stage carcinomas are rarely detected on routine endoscopic examination. Iodine staining may be useful in the detection of early stage esophageal carcinoma, especially in high-risk populations. In a prior study, 29....

    journal_title:Gastrointestinal endoscopy

    pub_type: 临床试验,杂志文章

    doi:10.1067/mge.2001.111387

    authors: Shimizu Y,Tukagoshi H,Fujita M,Hosokawa M,Kato M,Asaka M

    更新日期:2001-01-01 00:00:00

  • Second-generation colon capsule endoscopy compared with colonoscopy.

    abstract:BACKGROUND:Colon capsule endoscopy (CCE) represents a noninvasive technology that allows visualization of the colon without requiring sedation and air insufflation. A second-generation colon capsule endoscopy system (PillCam Colon 2) (CCE-2) was developed to increase sensitivity for colorectal polyp detection compared ...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.gie.2011.03.1125

    authors: Spada C,Hassan C,Munoz-Navas M,Neuhaus H,Deviere J,Fockens P,Coron E,Gay G,Toth E,Riccioni ME,Carretero C,Charton JP,Van Gossum A,Wientjes CA,Sacher-Huvelin S,Delvaux M,Nemeth A,Petruzziello L,de Frias CP,Mayershofe

    更新日期:2011-09-01 00:00:00