ArticleSurgical endoscopy2016
Stent-in-stent technique for removal of embedded partially covered self-expanding metal stents.
Article in Surgical endoscopy, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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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
18 citing papers in PubMed, 32 citations in OpenAlex.
- Novel mechanical debridement technique to assist in removal of deeply embedded degenerated esophageal metal stent: a case report.iGIE : innovation, investigation and insights · 2026Article
- Efficacy of the Stent-in-Stent Technique as a Rescue Method for Removing Embedded Metallic Biliary Stents.DEN open · 2026Article
- Breaking through stent overgrowth: stepwise endoscopic removal using electrosurgical techniques.Endoscopy · 2026Article
- Endoscopic stenting for benign upper gastrointestinal conditions: safety and efficacy profile of a fully covered double-bump antimigratory stent.Surgical endoscopy · 2025Article
- [Endoscopic Treatments in Perforation or Fistula in Upper Gastrointestinal Tract].The Korean journal of helicobacter and upper gastrointestinal research · 2024Review
- Best Practices in Esophageal, Gastroduodenal, and Colonic Stenting.GE Portuguese journal of gastroenterology · 2023Review
- Stent-in-stent technique under fluoroscopy for removal of embedded esophageal stent: a retrospective case series.Quantitative imaging in medicine and surgery · 2022Article
- Stent-in-stent technique for removal of the tracheal stent in patients with severe granulation tissue hyperplasia.Quantitative imaging in medicine and surgery · 2021Article
- Stent Applications for Palliative Treatment in Advanced Stage Esophageal Cancers.Gastroenterology research and practice · 2021Article
- Self-Expandable Metallic Stent Is More Cost Efficient Than Plastic Stent in Treating Anastomotic Biliary Stricture.Digestive diseases and sciences · 2020Article
- Esophageal Perforations: An Endoscopic Approach to Management.Current gastroenterology reports · 2019Review
- Use of Self-Expandable Metal Stents in the Treatment of Leaks Complicating Laparoscopic Sleeve Gastrectomy: A Cohort Study.Obesity surgery · 2018Article
- Novel Endoscopic Stent for Anastomotic Leaks after Total Gastrectomy Using an Anchoring Thread and Fully Covering Thick Membrane: Prevention of Embedding and Migration.Journal of gastric cancer · 2018Article
- Fully-covered metal stents with endoscopic suturing vs. partially-covered metal stents for benign upper gastrointestinal diseases: a comparative study.Endoscopy international open · 2018Article
- Inversion Technique for the Removal of Partially Covered Self-Expandable Metallic Stents.Obesity surgery · 2018Article
- Biodegradable Stents in Resistant Peptic Oesophageal Stricture: Is It the Right Way to Go?Clinical medicine insights. Gastroenterology · 2018Review
- Cardiac tamponade occurred after endoscopic submucosal dissection: conservative management of the esophagopericardial fistula.Clinical case reports · 2017Article
- Successful endoscopic removal of three embedded esophageal self-expanding metal stents.World journal of gastrointestinal endoscopy · 2017Article
Corrections and comments
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Authors and funding
9 authors at 5 institutions in 1 country.
Funding
Abstract
backgroundRemoval of embedded partially covered self-expanding metal stents (PCSEMS) is associated with an increased risk of adverse events compared with removal of fully covered self-expanding stents (FCSES) due to tissue ingrowth. Successful removal of embedded PCSEMS has been described by the stent-in-stent (SIS) technique.
aimsTo report the first US experience from three high-volume quaternary care centers on the safety and efficacy of the SIS technique for removal of embedded PCSEMS.
methodsRetrospective study of outcomes for consecutive patients who underwent the SIS for removal of embedded PCSEMS over a 5-year period.
resultsTwenty-seven embedded PCSEMS were successfully removed using the SIS technique (100 %) from 25 patients (11 males), median age 65 (range 37-80). All stents were successfully removed in one endoscopic session (no repeat SIS procedures were required for persistently embedded stents). The embedded PCSEMS had been in situ for a median of 76 days (range 26-501). Median SIS dwell time (FCSES in situ of PCSEMS) was 13 days (interquartile range 8-16 days; range 4-212 days). One adverse event (self-limited bleeding) occurred during a median follow-up period of 3 months (range 1-32). No patients died, required surgery, or had long-term disability due to adverse events attributed to the SIS technique. Twelve patients required additional interventions following SIS procedure for persistence or recurrence of the underlying pathology.
conclusionWhen performed by experienced endoscopists, safe and effective removal of embedded PCSEMS can be achieved via the SIS technique.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.