title: The Evolution and Current Utility of Esophageal Stent Placement for the Treatment of Acute Esophageal Perforation.
abstract: Esophageal stent placement was used primarily for the treatment of malignant strictures until the development of a new generation of biomaterials allowed the production of easily removable, occlusive stents in 2001. Since then, thoracic surgeons have gained experience using esophageal stents for the treatment of acute esophageal perforation. As part of a hybrid treatment strategy, including surgical drainage of infected spaces, enteral nutrition, and aggressive supportive care, esophageal stent placement has produced results that can exceed those of traditional surgical repair. This review summarizes the evolution of esophageal stent use for acute perforation and provides evidence-based recommendations for the technique.
authors.affiliation: Department of Surgery, St Vincent Hospital, 8433 Harcourt Road, Indianapolis, IN 46260, USA.
authors.forename: Argenis
authors.initials: A
authors.lastname: Herrera
authors.affiliation: Division of Thoracic and Cardiovascular Surgery, St Vincent Hospital, 8433 Harcourt Road, Indianapolis, IN 46260, USA. Electronic address: Richard.Freeman@StVincent.org.
authors.forename: Richard K
authors.initials: RK
authors.lastname: Freeman
mesh_terms: D000208:Acute Disease; D004939:Esophageal Perforation / Q000601:surgery*; D006801:Humans; D019919:Prosthesis Implantation / Q000706:statistics & numerical data*; D015607:Stents / Q000706:statistics & numerical data*
keywords: Esophageal perforation; Esophageal stent placement; Hybrid treatment strategy