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Revista Colombiana de Gastroenterologia

Print version ISSN 0120-9957


RINCON S, Reinaldo Andrés. Are self-expanding metal prostheses useful for controlling refractory variceal digestive hemorrhaging?. Rev Col Gastroenterol [online]. 2018, vol.33, n.2, pp.145-149. ISSN 0120-9957.

Variceal bleeding is a medical emergency which has high rates of morbidity and mortality. Up to 10% of these patients treated in hospitals do not respond to conventional hemostatic measures. For this reason, the use of self-expanding metal stents (SEMS) has been proposed for management of these patients. It has had promising results.

This paper discusses the literature available internationally about experience with the use of SEMS, their efficacy for acute control, long-term patient prognoses, types of stents, alternatives, complications, and challenges for the use of SEMS for patient management that should be considered in our environment.

Keywords : Refractory variceal bleeding; rescue therapy; self-expanding metal stents; endoscopic management..

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