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Improving stent efficiency by understanding stent-related adverse events

2020; Elsevier BV; Volume: 22; Issue: 4 Linguagem: Inglês

10.1016/j.tige.2020.03.002

2666-5107

Daniel B. Maselli, Andrew C. Storm, Reem Matar, Barham K. Abu Dayyeh,

Foreign Body Medical Cases

Endoluminal stenting serves as an essential tool in the gastroenterologist's arsenal to manage perforations, leaks, fistulas, and both benign and malignant strictures; however, the heterogeneity of stent design, indication, and location renders comprehensive and systemic comparison of their efficacy a perennial challenge, despite their widespread use. Appraisal of their associated risks faces similar obstacles. Given the lack of robust, randomized, prospective data, understanding the complications of stents, as well as prevention and management of these complications, becomes all the more critical for those who use stents and/or manage patients with these important therapeutic devices. Here, we present a review of the literature—primarily through the lens of esophageal stents—to describe strategies for mitigating and resolving 3 major stent-related adverse events: stent migration, stent in-growth, and respiratory-esophageal fistula formation.