title: Outcome and complications of long-term self-expanding esophageal stenting.
abstract: Esophageal stenting with self-expanding plastic or covered metal stents is believed to be safe and effective. As data on the outcome of patients with long-term stenting are not available, this study was conducted to evaluate the safety and efficacy of long-term esophageal stenting. From 2002 to 2008, 70 patients with long-term esophageal stenting for various indications from a prospective database were included into further analysis. The median stent period was 297 (124-1980) days during a mean follow-up time of 55 ± 52.4 months. Overall complication rate was 30% with a primary success rate of 97.2%. The stent-related total reintervention rate was 17.1%. There were no correlations between stent characteristics and the risk of complication or migration. No stent-related death was observed. Our data provide evidence that long-period esophageal stenting is safe and effective for various indications.
authors.affiliation: Department of Surgery, Upper-GI-Research, Medical University of Vienna, Vienna, Austria. sebastian.schoppmann@meduniwien.ac.at
authors.forename: S F
authors.initials: SF
authors.lastname: Schoppmann
authors.forename: F B
authors.initials: FB
authors.lastname: Langer
authors.forename: G
authors.initials: G
authors.lastname: Prager
authors.forename: J
authors.initials: J
authors.lastname: Zacherl
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D057868:Anastomotic Leak / Q000628:therapy; D003680:Deglutition Disorders / Q000209:etiology / Q000628:therapy; D004935:Esophageal Diseases / Q000209:etiology / Q000628:therapy*; D004937:Esophageal Fistula / Q000209:etiology / Q000628:therapy; D004938:Esophageal Neoplasms / Q000150:complications; D004939:Esophageal Perforation / Q000209:etiology / Q000628:therapy; D004940:Esophageal Stenosis / Q000209:etiology / Q000628:therapy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D015607:Stents / Q000009:adverse effects; D016896:Treatment Outcome