Palliative Treatment of Malignant Inoperable Esophageal Strictures with Self-Expandable Metallic Stents: Single Center Experience with 155 Patients

Abstract

A AB BS S T TR RA AC CT T O Ob b j je ec c t ti i v ve e: : A ret ros pec ti ve study was de sig ned to in ves ti ga te the suc cess and the comp li ca ti on ra tes of dif fe rent types of self-ex pan dab le me tal lic stents in pa ti ents with ino pe rab le ma lig nant esop ha ge al stric tu res. M Ma a t te e r ri i a al l a an nd d M Me et t h ho od ds s: : One hundred fifty five pa ti ents with malig nant esop ha ge al stric tu res re ce i ved self-ex pan dab le me tal lic stents un der flu o ros co pic gu i dance in our cli nic bet we en the ye ars 1994 and 2008. A to tal of 137 men and 18 wo men aged bet we en 26-83 ye ars (me an age, 58.9 ye ars) we re inc lu ded in the study. Stent types used inc lu de Strec ker, Wall stent, co ve red Wall stent, Fla min go Wall stent, Cho o Stent and Song Stent. Comp li ca ti ons of dif fe rent stent types and dyspha gi a sco res of the pa ti ents we re eva lu a ted both pri or to the stent place ment and af ter wards. R Re e s su ul lt ts s: : Stent de li very tec ni qu e was suc cess ful in all pa ti ents. The ave rage dyspha gi a sco re dec re a sed from 3.1 (dyspha gi a to li qu ids) to 1.2 (dyspha gi a to nor mal so lid fo od) pro vi ding a 1.9 im pro ve ment in the dyspha gi a sco re. In eight ca ses (5.2%) early comp li ca ti ons such as mal po si ti on and early mig ra ti on we re de tec ted. In 30 ca ses (19.4%) la te comp li ca ti ons such as in growth, over growth, co e xis ten ce of in growth and over growth, la te mig ra ti on, esop ha gobronc hi al fis tu la and ble e ding we re de tec ted. C Co on nc c l lu u s si i o on n: : Pla ce ment of self-ex pan dab le me tal lic stents in the pal li a ti ve tre at ment of ma lig nant esop ha ge al stric tu res is an ea sily app li ed, well-tole ra ted and ef fec ti ve met hod which im pro ves the dyspha gi a sco re of the pa ti ents with low compli ca ti on ra tes. Our re sults are in ag re e ment with the li te ra tu re. The se lec ti on of the ide al stent for each pa ti ent is of gre at im por tan ce. K Ke ey y W Wo or rd ds s: : Stents; esop ha ge al ste no sis; ra di og raphy, in ter ven ti o nal; flu o ros copy Ö ÖZ ZE ET T A Am ma aç ç: : Ame li yat edi le me yen ma lign özo fa gus dar lı ğı olan has ta la rın pal ya tif te da vi sin de kendi li ğin den ge niş le ye bi len me ta lik stent le rin ba şa rı sı nı ve de ği şik stent tip le ri nin komp li kas yon oranla rı nı or ta ya koy mak için ret ros pek tif bir ça lış ma ya pıl dı. G Ge e r re eç ç v ve e Y Yö ön n t te em m l le er r: : Ma lign özo fa gus dar lı ğı olan 155 has ta ya kli ni ği miz de 1994 ve 2008 yıl la rı ara sın da flo ros ko pik kı la vuz ile ken di ken di ne ge niş le ye bi len me ta lik stent ler ta kıl dı. Yaş la rı 26-83 yıl ara sın da de ği şen (or ta la ma yaş 58.9 yıl) top lam 137 er kek ve 18 ka dın ça lış ma ya alın dı. Kul la nı lan stent tip le ri Strec ker, Wall stent, kaplan mış Wall stent, Fla min go Wall stent, Cho o Stent ve Song Stent 'dir. De ği şik stent tip le riy le ge lişen komp li kas yon lar ve has ta la rın ste...

Technical Difficulties and Procedural Complications in Closing Malignant Esophageal-Respiratory Fistulas

“…These findings are different from the data collected in our study. Stent migration can be an important complication related to SEMS placement and patients should be informed about this complication ( 19 , 20 ). Patients who do not comply with the recommended dietary regimen may suffer from early stent migration, precipitated by food impaction.…”