Esophagus/Reflux
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See the full rubric →Predictors of dysfunction in fully versus partially covered self-expanding metal stents for malignant esophageal strictures: a 10-year multicenter study.
Clinical takeawayConsider partially covered SEMS over fully covered SEMS for malignant esophageal strictures, especially in patients with non-squamous/non-adenocarcinoma etiologies or larger stricture diameters, to reduce dysfunction risk, while noting comparable adverse event rates (35.9% vs 43.8%, p=0.27).
What it foundFully covered SEMS had higher dysfunction rates than partially covered SEMS (36.5% vs 22.8%, p=0.04), driven by migration (31.3% vs 10.9%, p<0.01).
ContextRefines stent selection for malignant esophageal strictures by identifying specific predictors of dysfunction, challenging the assumption that fully covered SEMS are universally preferable, based on a retrospective multicenter study.
No standard claimed for this paper
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Çelebi Ö … Razpotnik M · BMC Gastroenterology · IF 2.5 · PubMed ↗