title: Removable self-expanding metal stents insertion for the treatment of perforations and postoperative leaks of the esophagus.
abstract: BACKGROUND
  Esophageal rupture, spontaneous or iatrogenic, is associated with significant morbidity and mortality. The current study aims at highlighting the various clinical scenarios, where esophageal fully covered self-expanding removable metal stents (FCSEMS) can be used in esophageal rupture.
  
  
  METHODS
  In patients who underwent insertion of FCSEMS between January 2013 and June 2014, all data regarding demographics, indications, insertion, removal, and outcomes were studied retrospectively.
  
  
  RESULTS
  Seven patients underwent the placement of esophageal covered SEMS. Two patients had Boerhaave syndrome, two had leak following the repair of aortic aneurysm, one had extensive esophageal injury following transesophageal echocardiography, one had carcinoma esophagus with tracheaesophageal fistula, and one had dehiscence of esophagogastric anastomosis. Stent insertion was successful in all the patients; one had stent migration which was managed endoscopically. Two patients died due to underlying illness; the rest had successful removal of stents after 8-10 weeks and good outcomes.
  
  
  CONCLUSIONS
  Esophageal FCSEMS placement is safe and effective modality in management of patients with esophageal rupture.
authors.affiliation: Department of Gastroenterology, Institute of Digestive and Hepatobiliary Sciences, Medanta-The Medicity, Sector 38, Gurgaon, Delhi NCR, 122 001, India. mukeshnasa78@gmail.com.
authors.forename: Mukesh
authors.initials: M
authors.lastname: Nasa
authors.affiliation: Department of Gastroenterology, Institute of Digestive and Hepatobiliary Sciences, Medanta-The Medicity, Sector 38, Gurgaon, Delhi NCR, 122 001, India.
authors.forename: Zubin Dev
authors.initials: ZD
authors.lastname: Sharma
authors.affiliation: Department of Gastroenterology, Institute of Digestive and Hepatobiliary Sciences, Medanta-The Medicity, Sector 38, Gurgaon, Delhi NCR, 122 001, India.
authors.forename: Narendra S
authors.initials: NS
authors.lastname: Choudhary
authors.affiliation: Department of Gastroenterology, Institute of Digestive and Hepatobiliary Sciences, Medanta-The Medicity, Sector 38, Gurgaon, Delhi NCR, 122 001, India.
authors.forename: Rajesh
authors.initials: R
authors.lastname: Puri
authors.affiliation: Department of Gastroenterology, Institute of Digestive and Hepatobiliary Sciences, Medanta-The Medicity, Sector 38, Gurgaon, Delhi NCR, 122 001, India.
authors.forename: Randhir
authors.initials: R
authors.lastname: Sud
mesh_terms: D000328:Adult; D000368:Aged; D057868:Anastomotic Leak / Q000628:therapy*; D001014:Aortic Aneurysm / Q000601:surgery; D020878:Device Removal; D057510:Endovascular Procedures; D004939:Esophageal Perforation / Q000628:therapy*; D004947:Esophagus / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D008477:Mediastinal Diseases / Q000628:therapy; D008670:Metals; D011183:Postoperative Complications / Q000628:therapy*; D012189:Retrospective Studies; D015607:Stents; D016896:Treatment Outcome; D004935:Esophageal Diseases; D012422:Rupture, Spontaneous; D000072663:Spontaneous Perforation
chemical_list: D008670:Metals
keywords: Boerhaave’s syndrome; Endovascular aortic repair; Esophageal SEMS; Esophageal rupture