Table 1. Summary of Crohn’s disease patients reported in the literature with SEMS.
Author/Year | Nº of patients | Location | Length | Previous treatment | Stent type | Technical/Clinical success (rate1) | Durantion of stenting | Outcome |
Matsuhashi 1997 /2000 17 | 2 | Colon | – | EBD | FCSEMS (15 × 50 mm) | Yes/Yes | 4 w (SM) | Symptom free at 3 years |
IC anastomosis | EBD | 3 FCSEMS? | Yes/Yes | 22 w (SM) | Symptom free at 4.5 years | |||
Whole 1998 18 | 1 | colon | – | No | TB-UC | Yes/Yes | 3 w | BS2 |
Suzuki 2004 19 | 2 | Colon | – | – | UCSEMS | Yes/No | 13 w | Fistula terminal ileum → surgery |
2 UCSEMS | Yes/Yes | 104 w | Recurrence → stent | |||||
Wada 2005 20 | 1 | Colon | – | No | UCSEMS | Yes/Yes | 139 w | Perforation and fistula |
Bickston 2005 21 | 1 | Ileocecal | – | EBD | 2 UCSEMS (10x60 mm) | Yes/Yes | 8 w | Symptom free at 2 months |
Dafnis 2007 22 | 1 | Colon | 5 cm | No | 4 UCSEMS (22x90 mm) | Yes/Yes | 82 w | Death from lung cancer |
Martines 2008 23 | 1 | IC anastomosis | 6 cm | EBD | FCSEMS (18 /24x80 mm) | Yes/Yes | 1 w | BS2 |
Small 2008 24 | 1 | Rectum | – | No | 2 PCSEMS (30x117 – 57) | Yes/Yes | 1 w | BS2 |
Keranen 2010 25 | 2 | Anastomosis | – | No | FCSEMS | Yes/Yes | 6 w | BS2 |
UCSEMS | Yes/Yes | 221 w | Perforation | |||||
Levin 2012 26 | 5 | IC anastomosis | < 6 cm | EBD (2 patients) | UCSEMS | Yes (100 %)/Yes (80 %) | 3 w – 9 years | Symptom free in 4 /5 patients |
Attar 2012 27 | 11 | IC anastomosis(9 patients)/Terminal ileum (2 patients) | 1 – 4 cm | EBD (9 patients) | FCSEMS | Yes (90 %)/Yes (36 %) | 1 – 28 days (8 stents SM) | Symptom free in 4 /11 patients ≥ 1 year. 2 complications |
Branche 201228 | 7 | IC anastomosis | < 5 cm | EBD | PCSEMS | Yes (100 %)/Yes (71,4 %) | 1 w | Symptom free in 5/7 patients, mean follow-up 10 months. |
Loras 2012 29 | 17 | IC anastomosis (10 patients)/colon (7 patients) | < 8 cm | EBD (14 patients) | PCSEMS (4)/FCSEMS (21) | Yes (92 %)/Yes (64.7 %) | Mean 28 days (1 – 112) (13 stents SM) | Symptom free in 11/17 patients, mean follow-up 67 w. 1 complication. |
Abbreviations: C, ileocolonic; EBD, endoscopic balloon dilatation; FCSEMS, fully covered self-expanding metal stent; UCSEMS, uncovered self-expanding metal stent; PCSEMS, partially covered self-expanding metal stent; TB, tracheo-bronchial; SM, spontaneous migration.
Rate** when is applicable.
BS*, bridge to surgery; w, weeks