Table 3. Analysis of outcomes after stent placement for management of anastomotic leak after esophagectomy.
| Author | Year | Type of Stent | Number of patients |
Anastomotic Technique |
Heal Success n (%) |
Mortality n (%) |
|---|---|---|---|---|---|---|
| Doniec et al.[34] | 2003 | pcSEMS | 10 | Not reported | 8(80) | 1(10) |
| Evrard et al.[35] | 2004 | SEPS | 4 | Not Reported | 4(100) | 0 |
| Gelbmann et al.[25] | 2004 | SEPS | 5 | Not reported | 3(60) | 2(40) |
| Hunerbein et al.[36] | 2004 | SEPS | 9 | Stapled | 9(100) | 0 |
| Langer et al.[26] | 2005 | SEPS | 24 | Not reported | 16(67) | 3(13) |
| Schubert et al.[37] | 2005 | SEPS | 12 | Circular stapled | 11(92) | 0 |
| Han et al.[22] | 2006 | cSEMS | 8 | Not reported | 6(75) | 2(25) |
| Kauer et al.[38] | 2008 | cSEMS | 10 | Not reported | 7(70) | 2(20) |
| Kim et al.[21] | 2008 | MSBT | 4 | Not reported | 4(100) | 0 |
| Pennathur et al.[20] | 2008 | SEPS | 5 | Not reported | 2(40) | Not reported |
| Tuebergen et al.[39] | 2008 | cSEMS | 19 | Not reported | 14(74) | 1(5) |
| Zisis et al.[40] | 2008 | cSEMS | 9 | Not reported | 7(78) | 2(22) |
| Kotzampassakis et al.[24] | 2009 | Not reported | 3 | Not reported | 3(100) | 0 |
| Leers et al.[41] | 2009 | cSEMS | 15 | Not reported | 13(87) | 1(7) |
| Bona et al.[42] | 2010 | cSEMS | 3 | Not reported | 2(67) | 0 |
| Dai et al.[30] | 2011 | fcSEPS | 18 | Not reported | 16(89) | 2(11) |
| David et al.[28] | 2011 | cSEMS | 5 | Not reported | 4(80) | 1(20) |
| D’Cunha et al.[23] | 2011 | cSEMS or SEPS | 22 | Not reported | 13(59) | 4(18) |
| Feith et al.[27] | 2011 | fcSEMS | 115 | Not reported | 81(70) | 10(9) |
| Freeman et al.[31] | 2011 | SEPS & cSEMS | 17 | Not reported | 16(94) | 0 |
| Nguyen et al.[43] | 2011 | cSEMS | 9 | Not reported | 9(100) | 0 |
| Schweigert et al.[19] | 2013 | cSEMS | 22 | Stapled | 17(77) | 5(23) |
| Brangewitz et al.[29] | 2013 | cSEMS or SEPS | 39 | Not reported | 21(54) | 11(28) |
| Leenders et al.[44] | 2013 | SEMS- mix | 15 | Hand-sewn | 11(73) | 5(33) |
| Schniewind et al.[45] | 2013 | SEMS & SEPS | 12 | Not reported | 2(17) | 10(83) |
|
| ||||||
| Total | 414 | 299(72) | 62(15) | |||
Abbreviations: cSEMS = covered self-expanding metal stent, pcSEMS = partially covered self-expanding metal stent, fcSEMS = fully covered self-expanding metal stent, bd = biodegradable stent, SEPS = self-expanding plastic stent, MSBT = Montgomery salivary bypass tube+
Heal success means that the stent is reported to heal the leak and not just seal with radiograph. The seal rate will always be higher than the actual heal rate.