Individually designed fully covered self-expandable metal stents for pediatric refractory benign esophageal strictures

Individually designed fully covered self-expandable metal stents for pediatric refractory benign esophageal strictures

Abstract To share our institutional experience of placing individually designed fully covered self-expandable metal stents (FCSEMSs) for the treatment of refractory benign esophageal strictures (RBESs) in pediatric patients. A 10-year retrospective study between May 2009 and July 2020 that includes...

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Autores principales: Xing Wang, Haifeng Liu, Zhihong Hu, Rufang Zhang, Zhujun Gu, Kai Lin, Yuling Feng
Formato: article
Lenguaje:EN
Publicado: Nature Portfolio 2021
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Acceso en línea:https://doaj.org/article/5b073e7c6cfe4a7fb98623efa34fb99b
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spelling oai:doaj.org-article:5b073e7c6cfe4a7fb98623efa34fb99b2021-11-21T12:16:55ZIndividually designed fully covered self-expandable metal stents for pediatric refractory benign esophageal strictures10.1038/s41598-021-01921-z2045-2322https://doaj.org/article/5b073e7c6cfe4a7fb98623efa34fb99b2021-11-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-01921-zhttps://doaj.org/toc/2045-2322Abstract To share our institutional experience of placing individually designed fully covered self-expandable metal stents (FCSEMSs) for the treatment of refractory benign esophageal strictures (RBESs) in pediatric patients. A 10-year retrospective study between May 2009 and July 2020 that includes 14 children with RBESs who were treated with individually designed FCSEMSs. Patients were followed-up regularly after stent placement to observe the improvement of vomiting and dysphagia, changes in stenosis diameter and complications. A total of 20 stents were successfully placed in 14 patients. During a follow-up period ranging from 5 to 83 months, except for one 4-year-old child who could not endure chest pain, the remaining 13 patients all benefited from stenting. Their Ogilvie & Atkinson scores improved from grade III–IV to grade 0-I, and the diameters of the stenosis’ were enlarged from 2–5 mm to 9–14 mm. Two patients developed restenosis and granulation tissue hyperplasia was found in 2 patients and stent migration and malapposition in 2 patients with esophageal perforations that required further endoscopic intervention. The use of FCSEMS for RBES is safe and effective in selected pediatric patients. Rationally designed stents and timely management of postoperative complications are critical to ensure the success of this new method.Xing WangHaifeng LiuZhihong HuRufang ZhangZhujun GuKai LinYuling FengNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-11 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Xing Wang
Haifeng Liu
Zhihong Hu
Rufang Zhang
Zhujun Gu
Kai Lin
Yuling Feng
Individually designed fully covered self-expandable metal stents for pediatric refractory benign esophageal strictures
description Abstract To share our institutional experience of placing individually designed fully covered self-expandable metal stents (FCSEMSs) for the treatment of refractory benign esophageal strictures (RBESs) in pediatric patients. A 10-year retrospective study between May 2009 and July 2020 that includes 14 children with RBESs who were treated with individually designed FCSEMSs. Patients were followed-up regularly after stent placement to observe the improvement of vomiting and dysphagia, changes in stenosis diameter and complications. A total of 20 stents were successfully placed in 14 patients. During a follow-up period ranging from 5 to 83 months, except for one 4-year-old child who could not endure chest pain, the remaining 13 patients all benefited from stenting. Their Ogilvie & Atkinson scores improved from grade III–IV to grade 0-I, and the diameters of the stenosis’ were enlarged from 2–5 mm to 9–14 mm. Two patients developed restenosis and granulation tissue hyperplasia was found in 2 patients and stent migration and malapposition in 2 patients with esophageal perforations that required further endoscopic intervention. The use of FCSEMS for RBES is safe and effective in selected pediatric patients. Rationally designed stents and timely management of postoperative complications are critical to ensure the success of this new method.
format article
author Xing Wang
Haifeng Liu
Zhihong Hu
Rufang Zhang
Zhujun Gu
Kai Lin
Yuling Feng
author_facet Xing Wang
Haifeng Liu
Zhihong Hu
Rufang Zhang
Zhujun Gu
Kai Lin
Yuling Feng
author_sort Xing Wang
title Individually designed fully covered self-expandable metal stents for pediatric refractory benign esophageal strictures
title_short Individually designed fully covered self-expandable metal stents for pediatric refractory benign esophageal strictures
title_full Individually designed fully covered self-expandable metal stents for pediatric refractory benign esophageal strictures
title_fullStr Individually designed fully covered self-expandable metal stents for pediatric refractory benign esophageal strictures
title_full_unstemmed Individually designed fully covered self-expandable metal stents for pediatric refractory benign esophageal strictures
title_sort individually designed fully covered self-expandable metal stents for pediatric refractory benign esophageal strictures
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/5b073e7c6cfe4a7fb98623efa34fb99b
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AT haifengliu individuallydesignedfullycoveredselfexpandablemetalstentsforpediatricrefractorybenignesophagealstrictures
AT zhihonghu individuallydesignedfullycoveredselfexpandablemetalstentsforpediatricrefractorybenignesophagealstrictures
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