ArticleSurgical endoscopy2026
Safety of long-term esophageal stent placement and a predictive model for restenosis: A double-center retrospective study.
Article in Surgical endoscopy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.
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Who cites it
3 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Optimizing surgical strategy for pancreatoduodenectomy: a network meta-analysis and trial sequential analysis.Journal of robotic surgery · 2026Pooled it
- Single-institution experience of 500 consecutive pancreatoduodenectomies: case-matched outcomes of the da Vinci Xi robotic versus open procedures.Surgical endoscopy · 2026Article
- Institutional learning curve for robotic pancreatoduodenectomy: a consecutive 100-case analysis.Surgical endoscopy · 2026Article
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND AND
aimsSelf-expanding metal stents (SEMS) relieve dysphagia but may cause complications. This study assessed the safety of long-term SEMS indwelling, identified risk factors, and developed a Cox model for restenosis prediction.
methodsA retrospective study was conducted at two centers, including 412 patients who underwent stenting (2015-2025). Complications were compared across indwelling times (< 30, 30-59, ≥ 60 days) and indications (benign, malignant). Logistic regression, Kaplan-Meier, and Cox analyses identified predictors, and a nomogram was constructed.
resultsThe overall complication rate was 64.6%. Migration was higher in the benign group (43.1% vs. 18.2%, P < 0.001), and fistula was higher in the malignant group (6.0% vs. 0.9%, P = 0.032). Indwelling ≥ 60 days increased migration (OR = 2.418, P = 0.008) and restenosis (OR = 2.336, P = 0.011). Longer stents reduced restenosis risk (OR = 0.987, P = 0.037). Malignant indication was an independent risk factor (HR = 3.661, P < 0.001). The nomogram showed good discrimination (AUC 0.78-0.81; C-index = 0.710).
conclusionLong-term stent placement (≥ 60 days) increased migration and restenosis but was generally manageable endoscopically, with no fatal events. In benign cases, moderate prolongation of stent indwelling was safe and feasible under close follow-up.
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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.