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Enteral stents in the management of gastrointestinal leaks, perforations and fistulae

Shehab H, Baron TH

Gastrointestinal leaks and fistulae are grave conditions associated with substantial morbidity and mortality. Expandable stents have shown significant success in the management of leaks and fistulae, providing an efficacious minimally...
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The challenges: Stent materials from the perspective of the manufacturer

Volenec K, Pohl I

The article presents an overview of the basic data influencing the choice of materials for the manufacture of self-expanding metallic stents to be implanted into gastrointestinal tract, particularly esophageal stents....
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Development of gastroduodenal self-expandable metallic stents: 30 years of trial and error

Tsauo J, Park JH, Song HY

In 1991, the author (H.Y.S.) reported the first case of self-expandable metallic stent (SEMS) placement in a patient with recurrent cancer after gastrojejunostomy. Since then SEMS placement has developed into...
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Enteral stent construction: Current principles

Laasch HU, Edwards DW, Song HY

The insertion of self-expanding stents into malignant strictures of the small and large bowel has become a routine procedure around the world. However, stent development has happened very much on...
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Malignant gastroduodenal obstruction: An endoscopic approach

Lee F, Abdul-Halim R, Dickinson , Maetani I

Malignant gastric outlet obstruction describes a constellation of symptoms that can result as a common endpoint from a variety of primary tumours, particularly those of the upper gastrointestinal tract and...
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The obstructed afferent loop: Percutaneous options

Mullan D, Uberoi R

Endoscopic drainage can be considered the treatment of choice in benign and malignant obstruction of the distal biliary tree, with percutaneous intervention reserved for cases of difficult access or complex...
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Through the keyhole: Radiological management of malignant gastric outflow obstruction beyond the pylorus

Stockwell , Shin JH

This review article presents the radiological options for management of malignant gastric outflow obstruction distal to the pylorus. We place these options in context with surgical and endoscopic alternatives and...
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Endoscopic approaches to afferent and Roux-en-Y limb obstruction

Kozarek RA

Afferent limb syndrome can be seen following Billroth II gastric resection, Whipple procedure with duodenojejunostomy, or in association with an obstructed Roux-en-Y limb following hepaticojejunostomy. This syndrome classically presents with...
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Percutaneous retrieval of a misplaced transjugular intrahepatic portosystemic shunt stent using the rigid endobronchial forceps

Vu J, Kim SK

Summary of Event: A transjugular intrahepatic portosystemic shunt (TIPS) stent (Viatorr) was misplaced into main portal vein and superior mesenteric vein. This misplaced covered stent was then successfully retrieved using...
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Enteral stents: Complications and their management

Lopera JE, de Gregorio MA, Laborda A, Castaño R

The treatment of malignant colonic and gastric outlet obstruction with self-expanding metallic stents (SEMS) is an established technique that can be performed by radiologic or a combination of radiologic and...
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Percutaneous colonic stent insertion via a radiologically placed distal 'cecostomy' tube for the management of acute malignant bowel obstruction

Najran PS, Kallampallil J, Bell J, Laasch HU, Mullan D

Percutaneous cecostomy is an uncommon procedure but is reported as an effective temporising measure to achieve acute decompression of bowel obstruction. It has been reported as a safe procedure in...
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The use of self-expanding metal stents in the cervical esophagus

Thrower A, Nasrullah , Lowe A, Stephenson S, Kay C

A case series was conducted at our institution on the the use of self-expanding metal stents (SEMS) in the cervical esophagus and their tolerability. Departmental records identified 20 consecutive stents...
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