Reduced migration of esophageal fully covered self-expandable metal stents affixed with clips with anchor prongs

iGIE Pub Date : 2025-03-01 DOI:10.1016/j.igie.2025.01.005

Jason DuBroff MD, MPH, Daniel Holten MD, Gregory Toy MD, David Jonason MD, Daryl Ramai MD, MPH, John Morris MSc, MD, John Fang MD, Christopher Ko MD

{"title":"Reduced migration of esophageal fully covered self-expandable metal stents affixed with clips with anchor prongs","authors":"Jason DuBroff MD, MPH, Daniel Holten MD, Gregory Toy MD, David Jonason MD, Daryl Ramai MD, MPH, John Morris MSc, MD, John Fang MD, Christopher Ko MD","doi":"10.1016/j.igie.2025.01.005","DOIUrl":null,"url":null,"abstract":"<div><h3>Background and Aims</h3><div>Fully covered self-expandable metal stents (FCSEMSs) are a common therapeutic treatment for benign and malignant esophageal disorders. Stent migration is a common adverse event of FSCEMSs. We describe clips with anchor prongs (CAPs) as a novel technique to reduce FCSEMS migration.</div></div><div><h3>Methods</h3><div>We retrospectively analyzed 27 patients with FCSEMSs affixed with CAPs and 28 patients without FCSEMS affixation for stent migration as the primary endpoint and used previously published data to determine the relative risk reduction (RRR).</div></div><div><h3>Results</h3><div>Migration was observed in 14.8% of cases (RRR, 43%). CAP affixation was associated with a decreased odds of migration (odds ratio, .19; <em>P</em> = .02). The only adverse event reported in those with (n = 4) or without (n = 14) CAP fixation was postprocedural pain.</div></div><div><h3>Conclusions</h3><div>CAPs may reduce stent migration, providing a novel option for the endoscopist seeking a means of securely attaching esophageal FCSEMSs.</div></div>","PeriodicalId":100652,"journal":{"name":"iGIE","volume":"4 1","pages":"Pages 38-41"},"PeriodicalIF":0.0000,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"iGIE","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2949708625000056","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}

引用次数: 0

Abstract

Background and Aims

Fully covered self-expandable metal stents (FCSEMSs) are a common therapeutic treatment for benign and malignant esophageal disorders. Stent migration is a common adverse event of FSCEMSs. We describe clips with anchor prongs (CAPs) as a novel technique to reduce FCSEMS migration.

Methods

We retrospectively analyzed 27 patients with FCSEMSs affixed with CAPs and 28 patients without FCSEMS affixation for stent migration as the primary endpoint and used previously published data to determine the relative risk reduction (RRR).

Results

Migration was observed in 14.8% of cases (RRR, 43%). CAP affixation was associated with a decreased odds of migration (odds ratio, .19; P = .02). The only adverse event reported in those with (n = 4) or without (n = 14) CAP fixation was postprocedural pain.

Conclusions

CAPs may reduce stent migration, providing a novel option for the endoscopist seeking a means of securely attaching esophageal FCSEMSs.

查看原文本刊更多论文

用带锚钉的夹子固定食管全覆盖自膨胀金属支架，减少其移位

背景与目的全覆盖自扩张金属支架（FCSEMSs）是一种常见的治疗良恶性食管疾病的方法。支架移位是FSCEMSs常见的不良事件。我们将带锚钉的夹子（CAPs）描述为一种减少FCSEMS迁移的新技术。方法回顾性分析27例经cap固定的FCSEMS患者和28例未经cap固定的FCSEMS患者进行支架移动作为主要终点，并使用先前发表的数据来确定相对风险降低（RRR）。结果14.8%的病例发生迁移，rr为43%。CAP词缀与迁移几率降低相关(优势比，0.19；P = .02)。在有（n = 4）或没有（n = 14） CAP固定的患者中，报告的唯一不良事件是术后疼痛。结论scaps可减少支架移位，为内镜医师寻求安全连接食管FCSEMSs的方法提供了一种新的选择。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

iGIE

自引率

0.00%

发文量