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
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 sili...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | Case Reports in Gastrointestinal Medicine |
| Online Access: | http://dx.doi.org/10.1155/2014/409283 |
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| author | Dario Raimondo Emanuele Sinagra Tiziana Facella Francesca Rossi Marco Messina Massimiliano Spada Guido Martorana Pier Enrico Marchesa Rosario Squatrito Giovanni Tomasello Attilio Ignazio Lo Monte Giancarlo Pompei Ennio La Rocca |
| author_facet | Dario Raimondo Emanuele Sinagra Tiziana Facella Francesca Rossi Marco Messina Massimiliano Spada Guido Martorana Pier Enrico Marchesa Rosario Squatrito Giovanni Tomasello Attilio Ignazio Lo Monte Giancarlo Pompei Ennio La Rocca |
| author_sort | Dario Raimondo |
| collection | DOAJ |
| 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. |
| format | Article |
| id | doaj-art-30caf8ca724e4e2e9e15660c924f0dc9 |
| institution | Kabale University |
| issn | 2090-6528 2090-6536 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Gastrointestinal Medicine |
| spelling | doaj-art-30caf8ca724e4e2e9e15660c924f0dc92025-02-03T01:12:01ZengWileyCase Reports in Gastrointestinal Medicine2090-65282090-65362014-01-01201410.1155/2014/409283409283Self-Expandable Metal Stent Placement for Closure of a Leak after Total Gastrectomy for Gastric Cancer: Report on Three Cases and Review of the LiteratureDario Raimondo0Emanuele Sinagra1Tiziana Facella2Francesca Rossi3Marco Messina4Massimiliano Spada5Guido Martorana6Pier Enrico Marchesa7Rosario Squatrito8Giovanni Tomasello9Attilio Ignazio Lo Monte10Giancarlo Pompei11Ennio La Rocca12Gastroenterology and Endoscopy Unit, Fondazione Istituto San Raffaele-G. Giglio, Contrada Pietra Pollastra Pisciotto, 90015 Cefalù, ItalyGastroenterology and Endoscopy Unit, Fondazione Istituto San Raffaele-G. Giglio, Contrada Pietra Pollastra Pisciotto, 90015 Cefalù, ItalySurgery Unit, Fondazione Istituto San Raffaele-G. Giglio, Contrada Pietra Pollastra Pisciotto, 90015 Cefalù, ItalyGastroenterology and Endoscopy Unit, Fondazione Istituto San Raffaele-G. Giglio, Contrada Pietra Pollastra Pisciotto, 90015 Cefalù, ItalyOncology Unit, Fondazione Istituto San Raffaele-G. Giglio, Contrada Pietra Pollastra Pisciotto, 90015 Cefalù, ItalyOncology Unit, Fondazione Istituto San Raffaele-G. Giglio, Contrada Pietra Pollastra Pisciotto, 90015 Cefalù, ItalySurgery Unit, Fondazione Istituto San Raffaele-G. Giglio, Contrada Pietra Pollastra Pisciotto, 90015 Cefalù, ItalySurgery Unit, Fondazione Istituto San Raffaele-G. Giglio, Contrada Pietra Pollastra Pisciotto, 90015 Cefalù, ItalyInternal Medicine Unit, Fondazione Istituto San Raffaele-G. Giglio, Contrada Pietra Pollastra Pisciotto, 90015 Cefalù, ItalyEuro-Mediterranean Institute of Science and Technology (IEMEST), Via Emerico Amari 123, 90100 Palermo, ItalyDepartment of Surgical and Oncological Disciplines, University of Palermo, Piazza delle Cliniche 2, 90100 Palermo, ItalyPathology Unit, Fondazione Istituto San Raffaele-G. Giglio, Contrada Pietra Pollastra Pisciotto, 90015 Cefalù, ItalyInternal Medicine Unit, Fondazione Istituto San Raffaele-G. Giglio, Contrada Pietra Pollastra Pisciotto, 90015 Cefalù, ItalyIn 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.http://dx.doi.org/10.1155/2014/409283 |
| spellingShingle | Dario Raimondo Emanuele Sinagra Tiziana Facella Francesca Rossi Marco Messina Massimiliano Spada Guido Martorana Pier Enrico Marchesa Rosario Squatrito Giovanni Tomasello Attilio Ignazio Lo Monte Giancarlo Pompei Ennio La Rocca 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 Case Reports in Gastrointestinal Medicine |
| title | 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 |
| title_full | 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 |
| title_fullStr | 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 |
| title_full_unstemmed | 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 |
| title_short | 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 |
| title_sort | 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 |
| url | http://dx.doi.org/10.1155/2014/409283 |
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