Johns Hopkins Manual for GI Endoscopic Nurses, Third Edition

Mouen Khashab, MD; Toshunia Robinson, MD; Anthony Kalloo, MD

Chapter 20: EGD With Esophageal Stent Placement (continued)

Reem Sharaiha, MD, MSc; Mouen A . Khashab, MD

An esophageal stent is an expandable metallic mesh or plastic silicone-coated tube used in patients with esophageal cancer for both palliative treatment of obstruction, strictures, perforations or fistula, and for benign indications. There are different types of stents that refer to the layer that coats the stent (fully covered, partially covered, fully uncovered [all metal] and polyflex [fully covered with polyester/silicone]). The advantage of partially or fully uncovered stents is that the uncovered parts reduce migration risk due to embedment, but it is more difficult to remove these, as…