Gastrointestinal Intervention  2016;5(2):138-148

doi:10.18528/gii160005

Enteral stents: Complications and their management.

Jorge E LOPERA 1 ; Miguel Angel DE GREGORIO ; Alicia LABORDA ; Rodrigo CASTAÑO

Affiliations

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Keywords

Colonic neoplasms; Complications; Gastric outlet obstruction; Pancreatic neoplasms; Self-expandable metal stents

Country

Republic of Korea

Language

English

Abstract

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 endoscopic guidance. The procedure is very effective to relieve the obstructive symptoms of advanced malignancies, with important clinical benefits and significant improvement in quality of life for the patients. Despite much advancement in the designs of SEMS, enteral stent placement is still associated with some significant early and late complications. Stent dysfunction mainly caused by tumor ingrowth/over growth, and stent migration when covered stent are used, are relatively common complications and many times require reinterventions.