✅ The novel Stentvac (fully-covered self-expanding metal stent coated with a sponge) is ideal for bridging and closing large esophageal or esophagogastric defects.
➡️ This system is inserted over a guide-wire 👍🏻
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@KMonkemuller
What is the benefit of this system over the standard e-vac? I worry about how both ends flare excessively, we’ve seen collateral damage in the esophagus from the flare areas
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@benzendejas
➡️ It expands the therapeutic options for endoscopic negative pressure therapy.
✅ Sponge, tube with open pore film drainage m, tube-in-tube, and now SOS (sponge over stent)
➡️ My recommendation is to apply each therapy based on type of wound & patient = personalized endoscopy
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@Ferreira_gastro
@EndoCollabcom
It comes with a suction tubing, located outside the stent, inside the sponge 🧽
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@KMonkemuller
Very interesting & convenient indeed. Thing I think about is cost though. Endo vac therapy, effective as it is, is expensive (⬆️ LOS + exchanges = $$).
This design doesn’t obviate the need for exchanges from what I see, & adds the stent cost to the equation.
What to do?
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@KMonkemuller
I’m fascinated but somewhat skeptical about:
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- the behavior of tissues when they are simultaneously stretched by stent and asked to compress from vacuum.
#2
- if seal is not great at flange, will fluid prefer to run flow around the stent?
#3
- logistics and cost of exchange
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