A prospective, randomized, controlled trial of covered expandable metal stents in the palliation of malignant esophageal obstruction at the gastroesophageal junction

Vakil, Nimish; Morris, A. I.; Marcon, Norman E.; Segalin, A.; Peracchia, A.; Bethge, N; Zuccaro, Gregory; Bosco, John J.; Jones, Warren T.

doi:10.1111/j.1572-0241.2001.03923.x

Cited by 252 publications

(90 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…This result is in agreement with the results of studies of primary malignant GOO in which the mean dysphagia score improved considerably by day 7, and the improvement was maintained up to day 30 [13,18]. When considering improved quality of life and performance score after stent placement [19,20], it might allow the chance for additional chemotherapy.…”

Section: Discussionsupporting

confidence: 89%

“…The early complication rate of 5% in our study is comparable to those in previous reports. All of the late complications occurred more than 1 month after stent insertion, and these were migration or restenosis due to tumor overgrowth or ingrowth, comparable to the results of previous studies [13,17,24].…”

Section: Discussionsupporting

confidence: 87%

“…Although stent insertion is considered more difficult in recurrent rather than primary malignant GOO, because of altered anatomy, the overall technical success of stent insertion was 92%, and clinical success was 90% in our study. These figures are comparable to those achieved with inoperable esophagogastric junction or cardia gastric cancer (95-100%) [13,14], or with malignant gastroduodenal obstruction (87-97%) [15]. Our results suggest that endoscopic SEMS insertion is effective even with obstruction due to recurrent gastric cancer.…”

Section: Discussionsupporting

confidence: 80%

See 2 more Smart Citations

Self-expandable metallic stent placement for malignant obstruction in patients with locally recurrent gastric cancer

et al. 2010

View full text Add to dashboard Cite

show abstract

Section: Discussionsupporting

confidence: 89%

Section: Discussionsupporting

confidence: 87%

Section: Discussionsupporting

confidence: 80%

See 1 more Smart Citation

Self-expandable metallic stent placement for malignant obstruction in patients with locally recurrent gastric cancer

et al. 2010

View full text Add to dashboard Cite

show abstract

“…SEMS improve quality of life (5) by allowing the relief of dysphagia (6) and optimizing the nutritional/functional status for subsequent surgery or chemo/radiotherapy. However, they are associated with a risk of adverse events (AEs) such as hemorrhage, pain, fistula and perforation (7,8).…”

Section: Introductionmentioning

confidence: 99%

Self-expandable metal stents are a valid option in long-term survivors of advanced esophageal cancer

Rodrigues‐Pinto¹,

Pereira²,

Baron³

et al. 2018

Rev Esp Enferm Dig

View full text Add to dashboard Cite

AUTHOR CONTRIBUTIONSDr. Rodrigues-Pinto was responsible for the study concept and design, data acquisition, analysis and interpretation of data, statistical analysis, drafting and writing of the paper. The remaining authors participated in a critical revision of the manuscript for important intellectual content. ABSTRACTBackground: self-expandable metal stents are often used for the palliative treatment

show abstract

“…The use of fully covered self-expandable esophageal metal stents has favorable results in treating a variety of benign and malignant esophageal strictures and esophageal fistulae [1][2][3][4][5][6] . However, stent placement over a prolonged period can result in hyperplastic tissue overgrowth on both ends of the stent, leading to in-stent restenosis [7][8][9] .…”

Section: Introductionmentioning

confidence: 99%

Plastic tube-assisted gastroscopic removal of embedded esophageal metal stents: A case report

Peng

Kang²,

Lü³

et al. 2013

WJG

View full text Add to dashboard Cite

A patient with stent embedding after placement of an esophageal stent for an esophagobronchial fistula was treated with an ST-E plastic tube inserted into the esophagus to the upper end of the stent using gastroscopy. The gastroscope was guided into the esophagus through the ST-E tube, and an alligator forceps was inserted into the esophagus through the ST-E tube alongside the gastroscope. Under gastroscopy, the stent wire was grasped with the forceps and pulled into the ST-E tube. When resistance was met during withdrawal, the gastroscope was guided further to the esophageal section where the stent was embedded. Biopsy forceps were guided through a biopsy hole in the gastroscope to the embedded stent to remove silicone membranes and connection threads linking the Z-shaped wire mesh. While the lower section of the Z-shaped stent was fixed by the biopsy forceps, the alligator forceps were used to pull the upper section of the metal wire until the Z-shaped metal loops elongated. The wire mesh of the stent was then removed in stages through the ST-E tube. Care was taken to avoid bleeding and perforation. Under the assistance of an ST-E plastic tube, an embedded esophageal metal stent was successfully removed with no bleeding or perforation. The patient experienced an uneventful recovery after surgery. Plastic tube-assisted gastroscopic removal of embedded metal stents can be minimally invasive, safe, and effective.

show abstract

A prospective, randomized, controlled trial of covered expandable metal stents in the palliation of malignant esophageal obstruction at the gastroesophageal junction

Abstract: Membrane-covered stents have significantly better palliation than conventional bare metal stents because of decreased rates of tumor ingrowth that necessitate endoscopic reintervention for dysphagia.

Cited by 252 publications

References 16 publications

Self-expandable metallic stent placement for malignant obstruction in patients with locally recurrent gastric cancer

Self-expandable metallic stent placement for malignant obstruction in patients with locally recurrent gastric cancer

Self-expandable metal stents are a valid option in long-term survivors of advanced esophageal cancer

Plastic tube-assisted gastroscopic removal of embedded esophageal metal stents: A case report

Contact Info

Product

Resources

About