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Mistakes in enteral stenting and how to avoid them

Jeanin van Hooft, Paul Fockens, Joyce Valerie Veld

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References

Mistakes
References
Mistake 1 Mistake 2 Mistake 3 Mistake 4 Mistake 5 Mistake 6 Mistake 7 Mistake 8 Mistake 9 Mistake 10
1.
D’Etoilles, L. La lanacherie de l'esophagotomie. Brussels, 1845.
2.
Lew RJ and Kochman ML. A review of endoscopic methods of oesophageal dilation. J Clin Gastroenterol 2002; 35: 117–126. [Link]
3.
Dasari BV, et al. The role of oesophageal stents in the management of oesophageal anastomotic leaks and benign oesophageal perforations. Ann Surg 2014; 259: 852–860. [Link]
4.
Yamao K, et al. Factors predicting through-the-scope gastroduodenal stenting outcomes in patients with gastric outlet obstruction: a large multicenter retrospective study in West Japan. Gastrointest Endosc 2016; 84: 757–763.e6. [Link]
5.
Lee JE, et al. Impact of carcinomatosis on clinical outcomes after self-expandable metallic stent placement for malignant gastric outlet obstruction. PLoS One 2015; 10: e0140648. [Link]
6.
Hori Y, et al. Stent under expansion on the procedure day, a predictive factor for poor oral intake after metallic stenting for gastric outlet obstruction. J Gastroenterol Hepatol 2015; 30: 1246–1251. [Link]
7.
Jullumstro E, et al. Colon cancer incidence, presentation, treatment and outcomes over 25 years. Colorectal Dis 2011; 13: 512–518. [Link]
8.
van Hooft JE, et al. Self-expandable metal stents for obstructing colonic and extracolonic cancer: European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline. Endoscopy 2014; 46: 990–1053. [Link]
9.
Tumours NWGG. Colorectal carcinoma, Oncoline, https://www.oncoline.nl/colorectaalcarcinoom (2014, accessed January 2019; in Dutch). [Link]
10.
Iversen LH. Aspects of survival from colorectal cancer in Denmark. Danish Med J 2012; 59: B4428. [Link]
11.
Tanis PJ, et al. Resection of obstructive left-sided colon cancer at a national level: A prospective analysis of short-term outcomes in 1,816 patients. Dig Surg 2015; 32: 317–324. [Link]
12.
Tringali A, et al. Endoscopic treatment of malignant gastric and duodenal strictures: a prospective, multicenter study. Gastrointest Endosc 2014; 79: 66–75. [Link]
13.
Lee H, et al. Covered metallic stents with an anti-migration design vs. uncovered stents for the palliation of malignant gastric outlet obstruction: a multicenter, randomized trial. Am J Gastroenterol 2015; 110: 1440–1449. [Link]
14.
Costamagna G, et al. Treatment of malignant gastroduodenal obstruction with a nitinol self-expanding metal stent: an international prospective multicentre registry. Dig Liver Dis 2012; 44: 37–43. [Link]
15.
Lillemoe KD, et al. Is prophylactic gastrojejunostomy indicated for unresectable periampullary cancer? A prospective randomized trial. Ann Surg 1999; 230: 322–328. [Link]
16.
Dumonceau JM, et al. Endoscopic biliary stenting: indications, choice of stents, and results: European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline — Updated October 2017. Endoscopy 2018; 50: 910–930. [Link]
17.
Lopera JE, et al. Gastroduodenal stent placement: current status. Radiographics 2004; 24: 1561–1573. [Link]
18.
Baron T and Law, R. Use of expandable stents in the esophagus. UpToDate, https://www.uptodate.com/contents/use-of-expandable-stents-in-the-esophagus (2017, accessed January 2019). [Link]
19.
Baron T and Law, R. Enteral stents for the management of malignant colorectal obstruction, UpToDate, https://www.uptodate.com/contents/enteral-stents-for-the-management-of-malignant-colorectal-obstruction (2017, accessed Janaury 2019). [Link]
20.
Geraghty J, et al. Management of large bowel obstruction with self-expanding metal stents. A multicentre retrospective study of factors determining outcome. Colorectal Dis 2014; 16: 476–483. [Link]
21.
Kim JW, et al. Comparison of clinical outcomes between endoscopic and radiologic placement of self-expandable metal stent in patients with malignant colorectal obstruction. Korean J Gastroenterol 2013; 61: 22–29. [Link]
22.
Sebastian S, et al. Pooled analysis of the efficacy and safety of self-expanding metal stenting in malignant colorectal obstruction. Am J Gastroenterol 2004; 99: 2051–2057. [Link]
23.
de Gregorio MA, et al. Ten-year retrospective study of treatment of malignant colonic obstructions with self-expandable stents. J Vascular Inerv Radiol 2011; 22: 870–878. [Link]
24.
May A, Hahn EG and Ell C. Self-expanding metal stents for palliation of malignant obstruction in the upper gastrointestinal tract. Comparative assessment of three stent types implemented in 96 implantations. J Clin Gastroenterol 1996; 22: 261–266. [Link]
25.
Rozanes I, Poyanli A and Acunas B. Palliative treatment of inoperable malignant oesophageal strictures with metal stents: one center's experience with four different stents. Eur J Radiol 2002; 43: 196–203. [Link]
26.
Lopera JE and De Gregorio MA. Fluoroscopic management of complications after colorectal stent placement. Gut Liver 2010; 4 (Suppl 1): S9–S18. [Link]

Abstract

Indications include stenosis (oesophageal and colonic) and gastric outlet obstruction

Topics

Radiology & Imaging Surgery

Citation

Veld JV, Fockens P and van Hooft JE. Mistakes in enteral stenting and how to avoid them. UEG Education 2019; 19: 5–8

Published

2019

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UEG Mistakes In Articles
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Mistakes in the management of hepatocellular carcinoma and how to avoid them

Spyridon Pantzios, Ioannis Elefsiniotis, Christos Triantos

Summary

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This summary was generated by an AI large language model based on the content transcript. It is for informational purposes only and should not be considered a substitute for clinical judgment. Always rely on your professional expertise and the full clinical context when making clinical decisions.

References

Mistakes
References
Mistake 1 Mistake 2 Mistake 3 Mistake 4 Mistake 5 Mistake 6 Mistake 7 Mistake 8 Mistake 9 Mistake 10
1.
D’Etoilles, L. La lanacherie de l'esophagotomie. Brussels, 1845.
2.
Lew RJ and Kochman ML. A review of endoscopic methods of oesophageal dilation. J Clin Gastroenterol 2002; 35: 117–126. [Link]
3.
Dasari BV, et al. The role of oesophageal stents in the management of oesophageal anastomotic leaks and benign oesophageal perforations. Ann Surg 2014; 259: 852–860. [Link]
4.
Yamao K, et al. Factors predicting through-the-scope gastroduodenal stenting outcomes in patients with gastric outlet obstruction: a large multicenter retrospective study in West Japan. Gastrointest Endosc 2016; 84: 757–763.e6. [Link]
5.
Lee JE, et al. Impact of carcinomatosis on clinical outcomes after self-expandable metallic stent placement for malignant gastric outlet obstruction. PLoS One 2015; 10: e0140648. [Link]
6.
Hori Y, et al. Stent under expansion on the procedure day, a predictive factor for poor oral intake after metallic stenting for gastric outlet obstruction. J Gastroenterol Hepatol 2015; 30: 1246–1251. [Link]
7.
Jullumstro E, et al. Colon cancer incidence, presentation, treatment and outcomes over 25 years. Colorectal Dis 2011; 13: 512–518. [Link]
8.
van Hooft JE, et al. Self-expandable metal stents for obstructing colonic and extracolonic cancer: European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline. Endoscopy 2014; 46: 990–1053. [Link]
9.
Tumours NWGG. Colorectal carcinoma, Oncoline, https://www.oncoline.nl/colorectaalcarcinoom (2014, accessed January 2019; in Dutch). [Link]
10.
Iversen LH. Aspects of survival from colorectal cancer in Denmark. Danish Med J 2012; 59: B4428. [Link]
11.
Tanis PJ, et al. Resection of obstructive left-sided colon cancer at a national level: A prospective analysis of short-term outcomes in 1,816 patients. Dig Surg 2015; 32: 317–324. [Link]
12.
Tringali A, et al. Endoscopic treatment of malignant gastric and duodenal strictures: a prospective, multicenter study. Gastrointest Endosc 2014; 79: 66–75. [Link]
13.
Lee H, et al. Covered metallic stents with an anti-migration design vs. uncovered stents for the palliation of malignant gastric outlet obstruction: a multicenter, randomized trial. Am J Gastroenterol 2015; 110: 1440–1449. [Link]
14.
Costamagna G, et al. Treatment of malignant gastroduodenal obstruction with a nitinol self-expanding metal stent: an international prospective multicentre registry. Dig Liver Dis 2012; 44: 37–43. [Link]
15.
Lillemoe KD, et al. Is prophylactic gastrojejunostomy indicated for unresectable periampullary cancer? A prospective randomized trial. Ann Surg 1999; 230: 322–328. [Link]
16.
Dumonceau JM, et al. Endoscopic biliary stenting: indications, choice of stents, and results: European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline — Updated October 2017. Endoscopy 2018; 50: 910–930. [Link]
17.
Lopera JE, et al. Gastroduodenal stent placement: current status. Radiographics 2004; 24: 1561–1573. [Link]
18.
Baron T and Law, R. Use of expandable stents in the esophagus. UpToDate, https://www.uptodate.com/contents/use-of-expandable-stents-in-the-esophagus (2017, accessed January 2019). [Link]
19.
Baron T and Law, R. Enteral stents for the management of malignant colorectal obstruction, UpToDate, https://www.uptodate.com/contents/enteral-stents-for-the-management-of-malignant-colorectal-obstruction (2017, accessed Janaury 2019). [Link]
20.
Geraghty J, et al. Management of large bowel obstruction with self-expanding metal stents. A multicentre retrospective study of factors determining outcome. Colorectal Dis 2014; 16: 476–483. [Link]
21.
Kim JW, et al. Comparison of clinical outcomes between endoscopic and radiologic placement of self-expandable metal stent in patients with malignant colorectal obstruction. Korean J Gastroenterol 2013; 61: 22–29. [Link]
22.
Sebastian S, et al. Pooled analysis of the efficacy and safety of self-expanding metal stenting in malignant colorectal obstruction. Am J Gastroenterol 2004; 99: 2051–2057. [Link]
23.
de Gregorio MA, et al. Ten-year retrospective study of treatment of malignant colonic obstructions with self-expandable stents. J Vascular Inerv Radiol 2011; 22: 870–878. [Link]
24.
May A, Hahn EG and Ell C. Self-expanding metal stents for palliation of malignant obstruction in the upper gastrointestinal tract. Comparative assessment of three stent types implemented in 96 implantations. J Clin Gastroenterol 1996; 22: 261–266. [Link]
25.
Rozanes I, Poyanli A and Acunas B. Palliative treatment of inoperable malignant oesophageal strictures with metal stents: one center's experience with four different stents. Eur J Radiol 2002; 43: 196–203. [Link]
26.
Lopera JE and De Gregorio MA. Fluoroscopic management of complications after colorectal stent placement. Gut Liver 2010; 4 (Suppl 1): S9–S18. [Link]

Abstract

Liver cancer is the sixth most common cancer and the third leading cause of cancer-related death. Hepatocellular carcinoma (HCC) accounts for about 90% of cases and mostly arises in chronic liver disease, especially cirrhosis. Viral hepatitis remains a leading cause, but alcohol-related disease and MASLD are rising. With immune checkpoint inhibitors transforming HCC management, it is timely to highlight common mistakes across screening, staging, diagnosis and treatment.

Topics

Digestive Oncology Hepatobiliary

Published

2026

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Summary

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Summary is not available for this content yet.

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This summary was generated by an AI large language model based on the content transcript. It is for informational purposes only and should not be considered a substitute for clinical judgment. Always rely on your professional expertise and the full clinical context when making clinical decisions.

Abstract

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Summary

AI Generated

Summary is not available for this content yet.

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This summary was generated by an AI large language model based on the content transcript. It is for informational purposes only and should not be considered a substitute for clinical judgment. Always rely on your professional expertise and the full clinical context when making clinical decisions.

Abstract

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Summary

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Summary is not available for this content yet.

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Thanks for your feedback.

This summary was generated by an AI large language model based on the content transcript. It is for informational purposes only and should not be considered a substitute for clinical judgment. Always rely on your professional expertise and the full clinical context when making clinical decisions.

Abstract

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Summary

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Summary is not available for this content yet.

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Was this helpful?

Thanks for your feedback.

This summary was generated by an AI large language model based on the content transcript. It is for informational purposes only and should not be considered a substitute for clinical judgment. Always rely on your professional expertise and the full clinical context when making clinical decisions.

Abstract

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Summary

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Summary is not available for this content yet.

Download PDF

Was this helpful?

Thanks for your feedback.

This summary was generated by an AI large language model based on the content transcript. It is for informational purposes only and should not be considered a substitute for clinical judgment. Always rely on your professional expertise and the full clinical context when making clinical decisions.

Abstract

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