Predictor of massive bleeding following stent placement for malignant oesophageal stricture/fistulae: a multicentre study
Aim To evaluate retrospectively the incidence and predictors of massive bleeding after stent placement for malignant oesophageal stricture/fistulae. Materials and methods This retrospective study comprised 519 patients with malignant oesophageal stricture/fistulae that were successfully treated with...
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| Veröffentlicht in: | Clinical radiology 2016-05, Vol.71 (5), p.471-475 |
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| creator | Liu, S.-Y Xiao, P Li, T.-x Cao, H.-C Mao, A.-W Jiang, H.-s Cao, G.-s Liu, J Wang, Y.-d Zhang, X.-S |
| description | Aim To evaluate retrospectively the incidence and predictors of massive bleeding after stent placement for malignant oesophageal stricture/fistulae. Materials and methods This retrospective study comprised 519 patients with malignant oesophageal stricture/fistulae that were successfully treated with stent placement at three hospitals. The patients were divided into two groups based on the occurrence of massive bleeding. Univariate and multivariate analysis was performed to evaluate predictive factors of massive bleeding. Results Massive bleeding occurred in 54 of 519 patients 1–37 days following stent placement. All of the patients who developed massive bleeding died within 24 hours of the event. Univariate analysis showed massive bleeding was associated with the presence of a concomitant tracheal stent ( p< 0.001), the existence of concomitant oesophageal fistulae ( p< 0.001), and prior radiotherapy ( p< 0.001). Multivariate analysis exhibited that concomitant tracheal stent insertion (odds ratio [OR], 23.134; 95% confidence interval [CI], 9.523–56.199; p |
| doi_str_mv | 10.1016/j.crad.2016.02.001 |
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| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1776629801</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0009926016000647</els_id><sourcerecordid>1776629801</sourcerecordid><originalsourceid>FETCH-LOGICAL-c477t-8ce23845be917cbef6e42fecf55ac4c2853eab9e6dcf8ab12e6937b489f5ccf73</originalsourceid><addsrcrecordid>eNp9kUFv1DAQhS0EotuWP8AB5cglqe04TowQUlVRQKrUSlCJm-VMxosXJ17spGj_PQ5bOHDg5DfW-540bwh5yWjFKJMXuwqiGSqedUV5RSl7Qjaslk3Jufr6lGwopapUXNITcprSbh0FF8_JCZdKCKnUhhzuIg4O5hCLYIvRpOQesOg95t9pW9jgffi5qjTjNBd7bwDHVdlMjMa77WTyFDCF_TezReOzM-bAJeKFdWlevME3hSnGxc8OMhkxO5bhcE6eWeMTvnh8z8j99fsvVx_Lm9sPn64ub0oQbTuXHSCvO9H0qFgLPVqJglsE2zQGBPCuqdH0CuUAtjM94yhV3faiU7YBsG19Rl4fc_cx_FgwzXp0CdB7M2FYkmZtKyVXHWXZyo9WiCGliFbvoxtNPGhG9Vq53um1cr1WrinX9Df06jF_6Ucc_iJ_Os6Gt0cD5i0fHEadwOEEueGIMOshuP_nv_sHB-8mB8Z_xwOmXVjilPvTTKcM6M_rldebM5mVFG39Cx1Fq3k</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1776629801</pqid></control><display><type>article</type><title>Predictor of massive bleeding following stent placement for malignant oesophageal stricture/fistulae: a multicentre study</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals Complete</source><creator>Liu, S.-Y ; Xiao, P ; Li, T.-x ; Cao, H.-C ; Mao, A.-W ; Jiang, H.-s ; Cao, G.-s ; Liu, J ; Wang, Y.-d ; Zhang, X.-S</creator><creatorcontrib>Liu, S.-Y ; Xiao, P ; Li, T.-x ; Cao, H.-C ; Mao, A.-W ; Jiang, H.-s ; Cao, G.-s ; Liu, J ; Wang, Y.-d ; Zhang, X.-S</creatorcontrib><description>Aim To evaluate retrospectively the incidence and predictors of massive bleeding after stent placement for malignant oesophageal stricture/fistulae. Materials and methods This retrospective study comprised 519 patients with malignant oesophageal stricture/fistulae that were successfully treated with stent placement at three hospitals. The patients were divided into two groups based on the occurrence of massive bleeding. Univariate and multivariate analysis was performed to evaluate predictive factors of massive bleeding. Results Massive bleeding occurred in 54 of 519 patients 1–37 days following stent placement. All of the patients who developed massive bleeding died within 24 hours of the event. Univariate analysis showed massive bleeding was associated with the presence of a concomitant tracheal stent ( p< 0.001), the existence of concomitant oesophageal fistulae ( p< 0.001), and prior radiotherapy ( p< 0.001). Multivariate analysis exhibited that concomitant tracheal stent insertion (odds ratio [OR], 23.134; 95% confidence interval [CI], 9.523–56.199; p <0.001), the presence of oesophageal fistulae (OR, 3.724; 95% CI, 1.677–8.269; p =0.001), and prior radiotherapy (OR, 13.310; 95% CI, 5.464–32.421; p <0.001) were predictors of massive bleeding following stenting. Conclusions The presence of oesophageal fistulae, prior radiotherapy, and concomitant tracheal stent are important factors contributing to bleeding after stenting.</description><identifier>ISSN: 0009-9260</identifier><identifier>EISSN: 1365-229X</identifier><identifier>DOI: 10.1016/j.crad.2016.02.001</identifier><identifier>PMID: 26944699</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Esophageal Diseases - etiology ; Esophageal Fistula - surgery ; Esophageal Neoplasms - complications ; Esophageal Neoplasms - radiotherapy ; Esophageal Stenosis - surgery ; Female ; Forecasting ; Gastrointestinal Hemorrhage - etiology ; Gastrointestinal Hemorrhage - mortality ; Humans ; Male ; Middle Aged ; Multivariate Analysis ; Radiology ; Retrospective Studies ; Stents - adverse effects</subject><ispartof>Clinical radiology, 2016-05, Vol.71 (5), p.471-475</ispartof><rights>The Royal College of Radiologists</rights><rights>2016 The Royal College of Radiologists</rights><rights>Copyright © 2016 The Royal College of Radiologists. Published by Elsevier Ltd. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c477t-8ce23845be917cbef6e42fecf55ac4c2853eab9e6dcf8ab12e6937b489f5ccf73</citedby><cites>FETCH-LOGICAL-c477t-8ce23845be917cbef6e42fecf55ac4c2853eab9e6dcf8ab12e6937b489f5ccf73</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.crad.2016.02.001$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>315,781,785,3551,27929,27930,46000</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26944699$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Liu, S.-Y</creatorcontrib><creatorcontrib>Xiao, P</creatorcontrib><creatorcontrib>Li, T.-x</creatorcontrib><creatorcontrib>Cao, H.-C</creatorcontrib><creatorcontrib>Mao, A.-W</creatorcontrib><creatorcontrib>Jiang, H.-s</creatorcontrib><creatorcontrib>Cao, G.-s</creatorcontrib><creatorcontrib>Liu, J</creatorcontrib><creatorcontrib>Wang, Y.-d</creatorcontrib><creatorcontrib>Zhang, X.-S</creatorcontrib><title>Predictor of massive bleeding following stent placement for malignant oesophageal stricture/fistulae: a multicentre study</title><title>Clinical radiology</title><addtitle>Clin Radiol</addtitle><description>Aim To evaluate retrospectively the incidence and predictors of massive bleeding after stent placement for malignant oesophageal stricture/fistulae. Materials and methods This retrospective study comprised 519 patients with malignant oesophageal stricture/fistulae that were successfully treated with stent placement at three hospitals. The patients were divided into two groups based on the occurrence of massive bleeding. Univariate and multivariate analysis was performed to evaluate predictive factors of massive bleeding. Results Massive bleeding occurred in 54 of 519 patients 1–37 days following stent placement. All of the patients who developed massive bleeding died within 24 hours of the event. Univariate analysis showed massive bleeding was associated with the presence of a concomitant tracheal stent ( p< 0.001), the existence of concomitant oesophageal fistulae ( p< 0.001), and prior radiotherapy ( p< 0.001). Multivariate analysis exhibited that concomitant tracheal stent insertion (odds ratio [OR], 23.134; 95% confidence interval [CI], 9.523–56.199; p <0.001), the presence of oesophageal fistulae (OR, 3.724; 95% CI, 1.677–8.269; p =0.001), and prior radiotherapy (OR, 13.310; 95% CI, 5.464–32.421; p <0.001) were predictors of massive bleeding following stenting. Conclusions The presence of oesophageal fistulae, prior radiotherapy, and concomitant tracheal stent are important factors contributing to bleeding after stenting.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Esophageal Diseases - etiology</subject><subject>Esophageal Fistula - surgery</subject><subject>Esophageal Neoplasms - complications</subject><subject>Esophageal Neoplasms - radiotherapy</subject><subject>Esophageal Stenosis - surgery</subject><subject>Female</subject><subject>Forecasting</subject><subject>Gastrointestinal Hemorrhage - etiology</subject><subject>Gastrointestinal Hemorrhage - mortality</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Multivariate Analysis</subject><subject>Radiology</subject><subject>Retrospective Studies</subject><subject>Stents - adverse effects</subject><issn>0009-9260</issn><issn>1365-229X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kUFv1DAQhS0EotuWP8AB5cglqe04TowQUlVRQKrUSlCJm-VMxosXJ17spGj_PQ5bOHDg5DfW-540bwh5yWjFKJMXuwqiGSqedUV5RSl7Qjaslk3Jufr6lGwopapUXNITcprSbh0FF8_JCZdKCKnUhhzuIg4O5hCLYIvRpOQesOg95t9pW9jgffi5qjTjNBd7bwDHVdlMjMa77WTyFDCF_TezReOzM-bAJeKFdWlevME3hSnGxc8OMhkxO5bhcE6eWeMTvnh8z8j99fsvVx_Lm9sPn64ub0oQbTuXHSCvO9H0qFgLPVqJglsE2zQGBPCuqdH0CuUAtjM94yhV3faiU7YBsG19Rl4fc_cx_FgwzXp0CdB7M2FYkmZtKyVXHWXZyo9WiCGliFbvoxtNPGhG9Vq53um1cr1WrinX9Df06jF_6Ucc_iJ_Os6Gt0cD5i0fHEadwOEEueGIMOshuP_nv_sHB-8mB8Z_xwOmXVjilPvTTKcM6M_rldebM5mVFG39Cx1Fq3k</recordid><startdate>20160501</startdate><enddate>20160501</enddate><creator>Liu, S.-Y</creator><creator>Xiao, P</creator><creator>Li, T.-x</creator><creator>Cao, H.-C</creator><creator>Mao, A.-W</creator><creator>Jiang, H.-s</creator><creator>Cao, G.-s</creator><creator>Liu, J</creator><creator>Wang, Y.-d</creator><creator>Zhang, X.-S</creator><general>Elsevier Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20160501</creationdate><title>Predictor of massive bleeding following stent placement for malignant oesophageal stricture/fistulae: a multicentre study</title><author>Liu, S.-Y ; Xiao, P ; Li, T.-x ; Cao, H.-C ; Mao, A.-W ; Jiang, H.-s ; Cao, G.-s ; Liu, J ; Wang, Y.-d ; Zhang, X.-S</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c477t-8ce23845be917cbef6e42fecf55ac4c2853eab9e6dcf8ab12e6937b489f5ccf73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Esophageal Diseases - etiology</topic><topic>Esophageal Fistula - surgery</topic><topic>Esophageal Neoplasms - complications</topic><topic>Esophageal Neoplasms - radiotherapy</topic><topic>Esophageal Stenosis - surgery</topic><topic>Female</topic><topic>Forecasting</topic><topic>Gastrointestinal Hemorrhage - etiology</topic><topic>Gastrointestinal Hemorrhage - mortality</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Multivariate Analysis</topic><topic>Radiology</topic><topic>Retrospective Studies</topic><topic>Stents - adverse effects</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Liu, S.-Y</creatorcontrib><creatorcontrib>Xiao, P</creatorcontrib><creatorcontrib>Li, T.-x</creatorcontrib><creatorcontrib>Cao, H.-C</creatorcontrib><creatorcontrib>Mao, A.-W</creatorcontrib><creatorcontrib>Jiang, H.-s</creatorcontrib><creatorcontrib>Cao, G.-s</creatorcontrib><creatorcontrib>Liu, J</creatorcontrib><creatorcontrib>Wang, Y.-d</creatorcontrib><creatorcontrib>Zhang, X.-S</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical radiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Liu, S.-Y</au><au>Xiao, P</au><au>Li, T.-x</au><au>Cao, H.-C</au><au>Mao, A.-W</au><au>Jiang, H.-s</au><au>Cao, G.-s</au><au>Liu, J</au><au>Wang, Y.-d</au><au>Zhang, X.-S</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Predictor of massive bleeding following stent placement for malignant oesophageal stricture/fistulae: a multicentre study</atitle><jtitle>Clinical radiology</jtitle><addtitle>Clin Radiol</addtitle><date>2016-05-01</date><risdate>2016</risdate><volume>71</volume><issue>5</issue><spage>471</spage><epage>475</epage><pages>471-475</pages><issn>0009-9260</issn><eissn>1365-229X</eissn><abstract>Aim To evaluate retrospectively the incidence and predictors of massive bleeding after stent placement for malignant oesophageal stricture/fistulae. Materials and methods This retrospective study comprised 519 patients with malignant oesophageal stricture/fistulae that were successfully treated with stent placement at three hospitals. The patients were divided into two groups based on the occurrence of massive bleeding. Univariate and multivariate analysis was performed to evaluate predictive factors of massive bleeding. Results Massive bleeding occurred in 54 of 519 patients 1–37 days following stent placement. All of the patients who developed massive bleeding died within 24 hours of the event. Univariate analysis showed massive bleeding was associated with the presence of a concomitant tracheal stent ( p< 0.001), the existence of concomitant oesophageal fistulae ( p< 0.001), and prior radiotherapy ( p< 0.001). Multivariate analysis exhibited that concomitant tracheal stent insertion (odds ratio [OR], 23.134; 95% confidence interval [CI], 9.523–56.199; p <0.001), the presence of oesophageal fistulae (OR, 3.724; 95% CI, 1.677–8.269; p =0.001), and prior radiotherapy (OR, 13.310; 95% CI, 5.464–32.421; p <0.001) were predictors of massive bleeding following stenting. Conclusions The presence of oesophageal fistulae, prior radiotherapy, and concomitant tracheal stent are important factors contributing to bleeding after stenting.</abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>26944699</pmid><doi>10.1016/j.crad.2016.02.001</doi><tpages>5</tpages></addata></record> |
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| subjects | Adult Aged Aged, 80 and over Esophageal Diseases - etiology Esophageal Fistula - surgery Esophageal Neoplasms - complications Esophageal Neoplasms - radiotherapy Esophageal Stenosis - surgery Female Forecasting Gastrointestinal Hemorrhage - etiology Gastrointestinal Hemorrhage - mortality Humans Male Middle Aged Multivariate Analysis Radiology Retrospective Studies Stents - adverse effects |
| title | Predictor of massive bleeding following stent placement for malignant oesophageal stricture/fistulae: a multicentre study |
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