Self-Expanding Metal Stent (SEMS): an innovative rescue therapy for refractory acute variceal bleeding
نویسندگان
چکیده
منابع مشابه
Self-Expanding Metal Stent (SEMS): an innovative rescue therapy for refractory acute variceal bleeding
BACKGROUND Acute variceal bleeding (AVB) is a life-threatening complication of liver cirrhosis or less commonly splenic vein thrombosis. Pharmacological and endoscopic interventions are cornerstones in the management of variceal bleeding but may fail in 10 - 15 % of patients. Rescue therapy with balloon tamponade (BT) or transjugular intrahepatic portosystemic shunt (TIPS) may be required to co...
متن کاملSelf-expanding metal stents for acute refractory esophageal variceal bleeding: A systematic review and meta-analysis.
BACKGROUND AND AIM Esophageal variceal bleeding is a severe complication of portal hypertension with significant morbidity and mortality. A substantial portion of cirrhotics fail to respond to conventional medical therapy and band ligation, necessitating alternative treatments including self-expanding metal stent (SEMS) placement for acute refractory esophageal variceal bleeding. In the present...
متن کاملEndoscopic removal of an impacted bile duct self-expanding metal stent (SEMS) using the SEMS-in-SEMS technique.
In contrast to covered self-expanding metal stents (c-SEMS), retrieval of uncovered SEMS (u-SEMS) from the bile duct may be quite difficult or impossible. We describe the endoscopic removal of an impacted u-SEMS using the SEMS-in-SEMS technique. A 62-year-old man presented with acute pancreatitis, jaundice, and weight loss. Computed tomography (CT) revealed a “malignant-appearing” mass in the h...
متن کاملSelf-Expandable Metal Stent Application as Bridging Therapy in Refractory Esophageal Variceal Bleeding Dirençli Özofagus Kanamalarında Köprü Tedavisi Olarak Self Expandable Metal Stent Uygulaması
Esophageal variceal bleeding is a serious complication of portal hypertension in cirrhotic patients. Current treatment approach consists of band ligation and sclerotherapy. More than 10% of variceal bleedings are refractory to standard treatments and have a higher mortality rate. In this study, we aimed to share our experiences regarding covered self-expanding metal stent (SEMS) as a bridging t...
متن کاملRole of Self-Expandable Metal Stents in Acute Variceal Bleeding
Acute variceal bleeding continues to be associated with significant mortality. Current standard of care combines hemodynamic stabilization, antibiotic prophylaxis, pharmacological agents, and endoscopic treatment. Rescue therapies using balloon tamponade or transjugular intrahepatic portosystemic shunt are implemented when first-line therapy fails. Rescue therapies have many limitations and are...
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ژورنال
عنوان ژورنال: Endoscopy International Open
سال: 2014
ISSN: 2196-9736
DOI: 10.1055/s-0034-1377980