Gastroenterology Stricture Management

Merit Endoscopy’s fully covered, laser-cut esophageal stent technology provides for virtually no foreshortening nor elongation allowing for accurate placement. Our novel anti-migration struts provide increased mucosal wall contact and friction, minimizing migration. In addition to our state-of-the-art stent technology, Merit delivers best-in-class dilation products including our BIG60 Inflation Device and our Elation dilation balloons.

PHYSICIAN RESOURCES

PRODUCT IN-SERVICE VIDEOS

ESOPHAGEAL STENT RESEARCH

GASTROENTEROLOGY PRODUCTS

ALLIED HEALTH PROFESSIONAL EDUCATION

PATIENT RESOURCES

PHYSICIAN RESOURCES

Download valuable resources about stricture management to help support your practice.

Dr Bradley Confer - Merit Endoscopy Case Studies “It is more cost effective to use a 5-stage balloon than using two 3-stage balloons.”

Bradley Confer, DO
Geisinger Medical Center – Gastroenterology

Elation5 Case Study

CASE STUDY #1:
ESOPHAGEAL DILATION WITH ELATION5^™

PRESENTATION
An 80-year-old female with a history of squamous cell carcinoma of the vocal cords who was previously treated with definitive chemotherapy and radiation. She has been suffering from recurrent aspiration pneumonia but has had no prior dysphagia until a hospitalization for melena one year prior. Initial EGD showed LA Grade D reflux with circumferential esophagitis and a 4 cm hiatal hernia.

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Dr Stuart Amateau - Merit Endoscopy Case Studies “The near immediate expansion combined with the unique struts tempers unwanted migration over time.”

Stuart Amateau, MD PhD
University of Minnesota Medical Center – Interventional Gastroenterology

Palliative management of a stenotic esophageal malignancy with EndoMAXX

CASE STUDY #2:
PALLIATIVE MANAGEMENT OF A STENOTIC ESOPHAGEAL MALIGNANCY WITH ENDOMAXX®

PATIENT HISTORY
A 76-year-old gentleman with progressive solid food dysphagia and a long history of tobacco use was found to have a malignant appearing, partially obstructing mass spanning 1-2cm of the mid esophagus (Fig 1A) with biopsies demonstrating poorly differentiated adenocarcinoma. Subsequent imaging revealed liver metastases confirming Stage IV disease. Oncology referred the patient for indefinite palliative esophageal stent placement to allow improved oral nutrition and quality of life while undergoing chemotherapy.

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ON-DEMAND WEBINAR #1:

SUCCESSFUL CLINICAL MANAGEMENT OF GI STRICTURES WITH BALLOON DILATION

GI Stricture Management On-Demand Webinar

Presenter: Bradley Confer, DO
Recorded: May 19, 2020

ON-DEMAND WEBINAR #2:

SUCCESSFUL CLINICAL MANAGEMENT OF ESOPHAGEAL STRICTURES WITH STENT PLACEMENT

Elation5 Case Study

Presenter: Adam W. Templeton, MD
Recorded: November 5, 2020

PRODUCT IN-SERVICE VIDEOS

Elation Balloon Dilator [In-Service]

Esophageal Stent Deployment System

Dr. Adler provides instructions on how to use the EndoMAXX deployment system and reviews procedure flow.

EndoMAXX Removal via the Proximal Suture

Dr. Adler reviews principles for removing esophageal stents, including a case study on EndoMAXX removal.

EndoMAXX Deployment Across the Gastroesophageal Junction

A case review with Dr. Adler for a patient requiring an esophageal stent across the gastroesophageal junction. Dr. Adler also discusses considerations for esophageal stent placement across the GEJ.

Proximal Esophageal EndoMAXX Stent Placement

Dr. Adler shares a case with a proximal esophageal stent placement using EndoMAXX, and shares some guiding principles for proximal esophageal stent placement.

Elation Balloon Dilator [In-Service]

Esophageal Stent Deployment System

Dr. Adler provides instructions on how to use the EndoMAXX deployment system and reviews procedure flow.

EndoMAXX Removal via the Proximal Suture

Dr. Adler reviews principles for removing esophageal stents, including a case study on EndoMAXX removal.

EndoMAXX Deployment Across the Gastroesophageal Junction

A case review with Dr. Adler for a patient requiring an esophageal stent across the gastroesophageal junction. Dr. Adler also discusses considerations for esophageal stent placement across the GEJ.

Proximal Esophageal EndoMAXX Stent Placement

Dr. Adler shares a case with a proximal esophageal stent placement using EndoMAXX, and shares some guiding principles for proximal esophageal stent placement.

Elation Balloon Dilator [In-Service]

ESOPHAGEAL STENT RESEARCH

Find out why Merit Endoscopy’s EndoMAXX and AliMAXX-ES esophageal stent technology is state-of-the-art. Read what the research says about complication rates and pain tolerance among the different fully covered metal stents on the market.

EndoMAXX^® Esophageal Stent

EndoMAXX Esophageal Stent Essrani et al. 2020. “Complications Related to Esophageal Stent (Boston Scientific Wallflex vs. Merit Medical Endotek) Use in Benign and Malignant Conditions,” Cureus Journal of Medical Science. https://pubmed.ncbi.nlm.nih.gov/32328390/

Price et al. 2019. “Esophageal Perforations: One is Bad, Two is Worse,” Trauma Surgery and Acute Care Open. https://pubmed.ncbi.nlm.nih.gov/31058234/

Thomas et al. 2019. “Fully-Covered Esophageal Stent Migration Rates in Benign and Malignant Disease: A Multicenter Retrospective Study,” Endoscopy International Open. https://pubmed.ncbi.nlm.nih.gov/31157292/

Dua et al. 2014. “Efficacy and Safety of a New Fully Covered Self-Expandable Non-Foreshortening Metal Esophageal Stent,” Gastrointestinal Endoscopy. https://pubmed.ncbi.nlm.nih.gov/24685007/

AliMAXX-ES^™ Esophageal Stent

AliMAXX-ES Fully Covered Esophageal Stent Kucera et al. 2016. “Small Caliber Covered Self-Expanding Metal Stents in the Management of Malignant Dysphagia,” Journal of Gastrointestinal Oncology. https://pubmed.ncbi.nlm.nih.gov/27284474/

Dan et al. 2014. “Removable Esophageal Stents Have Poor Efficacy for the Treatment of Refractory Benign Esophageal Strictures (RBES),” Diseases of the Esophagus.
https://pubmed.ncbi.nlm.nih.gov/23121426/

Nwiloh et al. 2013. “Self-Expanding Stents in Treatment of Esophageal Leaks Post Bariatric Surgery,” General Thoracic Cardiovascular Surgery. https://pubmed.ncbi.nlm.nih.gov/22692701/

Chen et al. 2011. “Esophageal Cancer Patients Undergoing External Beam Radiation After Placement of Self-Expandable Metal Stents: Is There a Risk of Radiation Dose Enhancement?” Gastrointestinal Endoscopy. https://pubmed.ncbi.nlm.nih.gov/21628012/

GASTROENTEROLOGY PRODUCTS

Merit Endoscopy pioneered the world’s first fully covered, FDA-approved esophageal stent. Learn how we are building upon that legacy with a complete range of innovative, next-generation GI solutions.

DILATION

Elation® 3-Stage Wireguided Dilation Balloon

The Elation 3-stage wireguided balloon dilator features the premium quality found in all Elation balloons while providing a guidewire to help manage strictures with difficult access.

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Elation® 3-Stage Fixed-Wire Dilation Balloon

The Elation 3-stage fixed-wire balloon dilator features the premium quality found in all Elation balloons. Its proprietary balloon and catheter designs result in a rapid, complete deflation and easy removal from the scope.

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Elation5 Dilation Balloon

The first and only 5-stage esophageal dilation balloon in the market. Elation5 adds value by expanding the treatment range with a single balloon while maintaining all the premium qualities found in our legacy Elation balloon design.

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BIG60® Inflation Device

The BIG60 inflation device pairs with our Elation dilation balloons to complete a best-in-class dilation system. The large handle with integrated release trigger facilities rapid inflation and deflation while providing precision and control during dilation.

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STENTS

EndoMAXX Esophageal Stent

The EndoMAXX fully covered esophageal stent is designed from years of clinical experience and feedback. This stent incorporates advanced features that help alleviate common adverse events associated with esophageal stenting.

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AliMAXX-ES Esophageal Stent

The ALIMAXX-ES Fully Covered Esophageal Stent incorporates anti-migration technology with low radial force and includes unique small diameter sizing.

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PATIENT RESOURCES

Take home resources for your patients.

Patient Brochure – Esophageal Stents

Esophageal Stents - Patient Brochure - Merit Endotek Give your patients the knowledge and comfort they need regarding their esophageal stents. This brochure contains information about life with a stent, food and drink recommendations, and more.

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Patient Brochure – Understanding Esophageal Dilation

Esophageal Dilation - Patient Brochure - Merit Endotek Ensure your patients have the knowledge they need regarding esophageal dilation. This brochure contains information about the dilation process, risks involved, and what to expect after their esophageal dilation.

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Gastroenterology Stricture Management

PHYSICIAN RESOURCES

CASE STUDY #1: ESOPHAGEAL DILATION WITH ELATION5™

CASE STUDY #2: PALLIATIVE MANAGEMENT OF A STENOTIC ESOPHAGEAL MALIGNANCY WITH ENDOMAXX®

ON-DEMAND WEBINAR #1:

SUCCESSFUL CLINICAL MANAGEMENT OF GI STRICTURES WITH BALLOON DILATION

ON-DEMAND WEBINAR #2:

SUCCESSFUL CLINICAL MANAGEMENT OF ESOPHAGEAL STRICTURES WITH STENT PLACEMENT

PRODUCT IN-SERVICE VIDEOS

Esophageal Stent Deployment System

ESOPHAGEAL STENT RESEARCH

EndoMAXX® Esophageal Stent

AliMAXX-ES™ Esophageal Stent

GASTROENTEROLOGY PRODUCTS

DILATION

Elation® 3-Stage Wireguided Dilation Balloon

Elation® 3-Stage Fixed-Wire Dilation Balloon

Elation5 Dilation Balloon

BIG60® Inflation Device

STENTS

EndoMAXX Esophageal Stent

AliMAXX-ES Esophageal Stent

PATIENT RESOURCES

Patient Brochure – Esophageal Stents

Patient Brochure – Understanding Esophageal Dilation

CASE STUDY #1:
ESOPHAGEAL DILATION WITH ELATION5^™

CASE STUDY #2:
PALLIATIVE MANAGEMENT OF A STENOTIC ESOPHAGEAL MALIGNANCY WITH ENDOMAXX®

EndoMAXX^® Esophageal Stent

AliMAXX-ES^™ Esophageal Stent