first Egyptian experience using new self-expandable metal stents in acute esophageal variceal bleeding: pilot study

ABSTRACT

Balloon tamponade has been widely available in emergency situations of acute variceal bleeding. To lessen the complications of Balloon tamponade, a new special type of stent for exclusive use in acute variceal bleeding has been developed. This study aims to investigate the effectiveness and safety of the new self-expandable metal stents [SEMS] in the initial control of acute variceal bleeding. We also hypothesized that using SEMS can bridge the acute bleeding episode converting endoscopic management by sclerotherapy or band ligation to an elective procedure. Twenty patients with acute variceal bleeding were included in the study and 16 of them were allocated to receive stent treatment. Stent deployment was successful in 15 of 16 patients [93.75%]. Technical errors were reported in 3 [18.75%] patients. Initial control of variceal bleeding was reported in 14 [out of 16] [87.5%] patients. The mean duration of the procedure was 10 [ +/- 6] min. Mortality was reported in 4 [25.0%] patients. SEMS is a safe and effective mean to control acute variceal bleeding