ArticleWorld journal of gastrointestinal endoscopy2015
Clinical outcomes of self-expandable stent placement for benign esophageal diseases: A pooled analysis of the literature.
Article in World journal of gastrointestinal endoscopy, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 54 papers, 4 of them syntheses that pooled it.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
54 citing papers in PubMed, 4 syntheses or guidelines pooled it, 108 citations in OpenAlex.
- Biodegradable Stents for the Treatment of Refractory Benign Esophageal Strictures: Systematic Review and Meta-Analysis.Digestion · 2025Pooled it
- SX-ELLA biodegradable stent for benign oesophageal strictures: a systematic review and proportion meta-analysis.Surgical endoscopy · 2023Pooled it
- Endoscopic Treatment Options for Gastrointestinal Leaks.Visceral medicine · 2022Pooled it
- Critical Appraisal of the Impact of Oesophageal Stents in the Management of Oesophageal Anastomotic Leaks and Benign Oesophageal Perforations: An Updated Systematic Review.World journal of surgery · 2020Pooled it
- Inflatable mediastinoscopic esophagectomy for refractory benign esophageal fistulas: An effective therapeutical methods.JTCVS techniques · 2026Article
- Real-world management and in-hospital outcomes of foreign body-associated esophageal perforations in the United States: a national retrospective cohort study.Clinical endoscopy · 2026Article
- Article
- Evaluation of a new fixation technique on prevention of esophageal stents migration in benign disease: the double clip-rubber band technique (with video).Surgical endoscopy · 2026Article
- Biodegradable and self-expanding metal stents in the treatment of children with strictures after esophageal atresia repair.Esophagus : official journal of the Japan Esophageal Society · 2026Article
- Interventional Endoscopy for the Management of Post-Surgical Leaks and Fistulas: A Scoping Review.Journal of clinical medicine · 2026Review
- Endoscopic treatment of gastrointestinal perforations and leaks: Why, when, and how?World journal of gastrointestinal endoscopy · 2026Review
- OTSC combined with jejunal mucosal ESD for closure of jejunal dilated blind pouch and anastomotic metal stent placement in the treatment of post-oesophagojejunostomy stricture: a case report (with video).Frontiers in medicine · 2026Article
- Endoscopic management for gastrointestinal leaks, perforations, and fistulae: Technical tips and outcomes.World journal of gastrointestinal endoscopy · 2025Review
- Fistula closure technique using an esophageal stent and fixation method for gastrointestinal-airway fistula after esophageal cancer surgery.Esophagus : official journal of the Japan Esophageal Society · 2025Article
- Article
- Extracardiac Compression by Gastrointestinal Structures: A Comprehensive Anthology From the Literature.Cardiology research and practice · 2025Review
- Efficacy of endoscopic vacuum therapy in esophageal luminal defects: a systematic review and meta-analysis.Clinical endoscopy · 2025Article
- Closure of a secondary tracheoesophageal fistula in severe pneumonia using an Amplatzer Duct Occluder II during invasive mechanical ventilation: A case report.Clinical case reports · 2024Article
- Review
- Innovative Design of a 3D Printed Esophageal Stent Inspired by Nature: Mitigating Migration Challenges in Palliative Esophageal Cancer Therapy.Biomimetics (Basel, Switzerland) · 2024Article
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimTo analyze the outcomes of self-expandable stent placement for benign esophageal strictures and benign esophageal leaks in the literature.
methodsThe PubMed, Embase and Cochrane databases were searched for relevant articles published between January 2000 and July 2014. Eight prospective studies were identified that analyzed the outcomes of stent placement for refractory benign esophageal strictures. The outcomes of stent placement for benign esophageal leaks, perforations and fistulae were extracted from 20 retrospective studies that were published after the inclusion period of a recent systematic review. Data were pooled and analyzed using descriptive statistics.
resultsFully covered self-expandable metal stents (FC SEMS) (n = 85), biodegradable (BD) stents (n = 77) and self-expandable plastic stents (SEPS) (n = 70) were inserted in 232 patients with refractory benign esophageal strictures. The overall clinical success rate was 24.2% and according to stent type 14.1% for FC SEMS, 32.9% for BD stents and 27.1% for SEPS. Stent migration occurred in 24.6% of cases. The overall complication rate was 31.0%, including major (17.7%) and minor (13.4%) complications. A total of 643 patients were treated with self-expandable stents mainly for postsurgical leaks (64.5%), iatrogenic perforations (19.6%), Boerhaave's syndrome (7.8%) and fistulae (3.7%). FC SEMS and partially covered SEMS were used in the majority of patients. Successful closure of the defect was achieved in 76.8% of patients and according to etiology in 81.4% for postsurgical leaks, 86.0% for perforations and 64.7% for fistulae. The pooled stent migration rate was 16.5%. Stent-related complications occurred in 13.4% of patients, including major (7.8%) and minor (5.5%) complications.
conclusionThe outcomes of stent placement for refractory benign esophageal strictures were poor. However, randomized trials are needed to put this into perspective. The evidence on successful stent placement for benign esophageal leaks, perforations and fistulae is promising.
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