Self-expandable metallic stent-induced esophagorespiratory fistulas in patients with advanced esophageal cancer
dc.contributor | Sistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP | |
dc.contributor.author | JOSINO, Iatagan R. | |
dc.contributor.author | MARTINS, Bruno C. | |
dc.contributor.author | MACHADO, Andressa A. | |
dc.contributor.author | LIMA, Gustavo R. de A. | |
dc.contributor.author | CORDERO, Martin A. C. | |
dc.contributor.author | POMBO, Amanda A. M. | |
dc.contributor.author | SALLUM, Rubens A. A. | |
dc.contributor.author | JR, Ulysses Ribeiro | |
dc.contributor.author | BARON, Todd H. | |
dc.contributor.author | MALUF-FILHO, Fauze | |
dc.date.accessioned | 2024-04-05T19:31:42Z | |
dc.date.available | 2024-04-05T19:31:42Z | |
dc.date.issued | 2023 | |
dc.description.abstract | Background/Aims: Self-expandable metallic stents (SEMSs) are widely adopted for the palliation of dysphagia in patients with malignant esophageal strictures. An important adverse event is the development of SEMS-induced esophagorespiratory fistulas (SEMSERFs). This study aimed to assess the risk factors related to the development of SEMS-ERF after SEMS placement in patients with esophageal cancer. Methods: This retrospective study was performed at the Instituto do Cancer do Estado de Sao Paulo. All patients with malignant esophageal strictures who underwent esophageal SEMS placement between 2009 and 2019 were included in the study. Results: Of the 335 patients, 37 (11.0%) developed SEMS-ERF, with a median time of 129 days after SEMS placement. Stent flare of 28 mm (hazard ratio [HR], 2.05; 95% confidence interval [CI], 1.15-5.51; p=0.02) and post-stent chemotherapy (HR, 2.0; 95% CI, 1.01- 4.00; p=0.05) were associated with an increased risk of developing SEMS-ERF, while lower-third tumors were a protective factor (HR, 0.5; 95% CI, 0.26-0.85; p=0.01). No difference was observed in overall survival. Conclusions: The incidence of SEMS-ERFs was 11%, with a median time of 129 days after SEMS placement. Post-stent chemotherapy and a 28 mm stent flare were associated with a higher risk of SEMS-ERF. | eng |
dc.description.index | PubMed | |
dc.description.index | Scopus | |
dc.description.index | Dimensions | |
dc.description.index | WoS | |
dc.identifier.citation | CLINICAL ENDOSCOPY, v.56, n.6, p.761-768, 2023 | |
dc.identifier.doi | 10.5946/ce.2022.297 | |
dc.identifier.eissn | 2234-2443 | |
dc.identifier.issn | 2234-2400 | |
dc.identifier.uri | https://observatorio.fm.usp.br/handle/OPI/58883 | |
dc.language.iso | eng | |
dc.publisher | KOREAN SOC GASTROINTESTINAL ENDOSCOPY | eng |
dc.relation.ispartof | Clinical Endoscopy | |
dc.rights | openAccess | eng |
dc.rights.holder | Copyright KOREAN SOC GASTROINTESTINAL ENDOSCOPY | eng |
dc.subject | Esophageal fistula | eng |
dc.subject | Esophageal neoplasms | eng |
dc.subject | Self-expandable metallic stents | eng |
dc.subject.other | malignant dysphagia | eng |
dc.subject.other | prior radiation | eng |
dc.subject.other | adverse events | eng |
dc.subject.other | complications | eng |
dc.subject.other | placement | eng |
dc.subject.other | chemotherapy | eng |
dc.subject.other | palliation | eng |
dc.subject.other | survival | eng |
dc.subject.other | radiotherapy | eng |
dc.subject.other | experience | eng |
dc.subject.wos | Gastroenterology & Hepatology | eng |
dc.title | Self-expandable metallic stent-induced esophagorespiratory fistulas in patients with advanced esophageal cancer | eng |
dc.type | article | eng |
dc.type.category | original article | eng |
dc.type.version | publishedVersion | eng |
dspace.entity.type | Publication | |
hcfmusp.affiliation.country | Estados Unidos | |
hcfmusp.affiliation.countryiso | us | |
hcfmusp.author.external | LIMA, Gustavo R. de A.:Univ Sao Paulo, Dept Gastroenterol, Inst Canc Estado Sao Paulo, Hosp Clin,Fac Med, Sao Paulo, Brazil | |
hcfmusp.author.external | BARON, Todd H.:Univ N Carolina, Div Gastroenterol & Hepatol, Chapel Hill, NC USA | |
hcfmusp.citation.scopus | 0 | |
hcfmusp.contributor.author-fmusphc | IATAGAN ROCHA JOSINO | |
hcfmusp.contributor.author-fmusphc | BRUNO DA COSTA MARTINS | |
hcfmusp.contributor.author-fmusphc | ANDRESSA ABNADER MACHADO | |
hcfmusp.contributor.author-fmusphc | MARTIN ANDRES CORONEL CORDERO | |
hcfmusp.contributor.author-fmusphc | AMANDA AQUINO DE MIRANDA POMBO | |
hcfmusp.contributor.author-fmusphc | RUBENS ANTONIO AISSAR SALLUM | |
hcfmusp.contributor.author-fmusphc | ULYSSES RIBEIRO JUNIOR | |
hcfmusp.contributor.author-fmusphc | FAUZE MALUF FILHO | |
hcfmusp.description.beginpage | 761 | |
hcfmusp.description.endpage | 768 | |
hcfmusp.description.issue | 6 | |
hcfmusp.description.volume | 56 | |
hcfmusp.origem | WOS | |
hcfmusp.origem.dimensions | pub.1162712829 | |
hcfmusp.origem.pubmed | 37491991 | |
hcfmusp.origem.scopus | 2-s2.0-85179469766 | |
hcfmusp.origem.wos | WOS:001110340700014 | |
hcfmusp.publisher.city | SEOUL | eng |
hcfmusp.publisher.country | SOUTH KOREA | eng |
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