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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Published in:Clinical radiology 2016-05, Vol.71 (5), p.471-475
Main Authors: 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
Format: Article
Language:English
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
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Summary: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
ISSN:0009-9260
1365-229X
DOI:10.1016/j.crad.2016.02.001