Stents for benign and malignant esophageal strictures

Ann N Y Acad Sci. 2013 Oct:1300:119-143. doi: 10.1111/nyas.12242.

Abstract

This paper presents commentaries on endotherapy for esophageal perforation/leaks; treatment of esophageal perforation; whether esophageal stents should be used for treating benign esophageal strictures; what determines the optimal stenting period in benign esophageal strictures/leaks; how to choose an esophageal stent; how a new fistula secondary to an esophageal stent should be treated; which strategy should be adopted when a fistula of a cervical anastomosis occurs; intralesional steroids for refractory esophageal strictures; balloon and bougie dilators for esophageal strictures and predictors of response to dilation; whether refractory strictures from different etiologies respond differently to endotherapy; surgical therapy of benign esophageal strictures; and whether stenoses following severe esophageal burns should be treated by esophageal resection or esophageal bypass.

Keywords: anastomic leak; esophageal perforation; neoesophagus; stent; stricture formation.

Publication types

  • Review

MeSH terms

  • Esophageal Stenosis / pathology
  • Esophageal Stenosis / therapy*
  • Esophagoscopy*
  • Esophagus / pathology
  • Humans
  • Stents*
  • Treatment Outcome