Treatment of complications caused by metallic stent placement in esophageal cancer

Eroğlu, Atilla

doi:10.5606/tgkdc.dergisi.2016.4456

Cited by 4 publications

(1 citation statement)

References 22 publications

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“…The biggest advantage of stent placement is the immediate control of perforations, maintaining the esophageal wall during mucosal healing, the possibility of early oral nutrition and the prevention of stricture formation. [30][31][32] Recently, for the treatment of esophageal perforation, surgical intervention rate has been decreased and stent placement has increased significantly.…”

Section: Through-the-scope (Tts) Clipsmentioning

confidence: 99%

Minimally invasive management of esophageal perforation

Eroğlu

Aydın

Yılmaz

2018

Turk Gogus Kalp Dama

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Minimally invasive management of esophageal perforation Özofagus perforasyonunun minimal invaziv tedavisi ÖZ Özofagus perforasyonu yüksek morbidite ve mortalite ile karakterize acil bir durumdur. Hayatı tehdit eden bu durumun uygun tedavisi konusunda kesin bir fikir birliği bulunmamaktadır. Geleneksel olarak özofagus perforasyonunun tedavisi cerrahidir. Bununla birlikte, endoskopik tedavi cerrahiden daha az invaziv ve daha az morbid olarak günümüzde primer tedavi seçimidir. Endoskopik klip uygulaması, endoskopik stent yerleştirilmesi, endoskopik sütür, endoskopik vakum tedavisi ve doku yapıştırıcıları endolüminal yoldan uygulanmaktadır. Küçük defektler (<2 cm) endoskopik klipler ile kapatılabilir. Daha büyük defektler stent yerleştirilmesi veya sütür gerektirir. Çıkartılabilir özofagus stenti, perforasyonun minimal invaziv onarımına ve hızlı beslenmeye izin vermesiyle özofagus perforasyonu olan olgularda etkili bir tedavi yöntemidir. Endoskopik sütür hem migrasyonu önlemek için stentin sabitlenmesi hem de perforasyonun primer olarak kapatılması için kullanılabilir. Perforasyon bir mediastinal koleksiyon ile ilişkili ise, drenaj zorunludur ve bu işlem bilgisayarlı tomografi rehberliğinde perkütan drenaj, torakoskopi veya endoskopik vakum tedavisi ile yapılabilir. Bazı olgularda bu minimal invaziv yöntemlerin kombinasyonu gerekir. Endoskopi merkezli minimal invaziv yöntemlerin daha iyi yaşam kalitesi ve sonuçlar sağlaması ve hastanede yatış süresini kısaltması nedeni ile özofagus perforasyonunda tedavi seçiminde bu yöntemlere doğru bir yönelim gözlenmektedir.

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Section: Through-the-scope (Tts) Clipsmentioning

confidence: 99%

Minimally invasive management of esophageal perforation

Eroğlu

Aydın

Yılmaz

2018

Turk Gogus Kalp Dama

Self Cite

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A novel technique to remove migrated esophageal stent under fluoroscopy

Sigdel,

Zhou,

Song

et al. 2024

Abdom Radiol

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Impact of radiotherapy on adverse events of self-expanding metallic stents in patients with esophageal cancer

Machado

Martins

Josino

et al. 2023

Diseases of the Esophagus

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Self-expanding metallic stents (SEMS) are considered the treatment of choice for the palliation of dysphagia and fistulas in inoperable esophageal neoplasms. However, the safety of SEMSs in patients who received or who will be submitted to radiotherapy (RT) is uncertain. The study aimed to evaluate the impact of RT on adverse events (AEs) in patients with esophageal cancer with SEMSs. This is a retrospective study conducted at a tertiary cancer hospital from 2009 to 2018. We collected information regarding RT, the histological type of the tumor, the model of SEMSs and AEs after stent placement. Three hundred twenty-three patients with malignant stenosis or fistula were treated with SEMSs. The predominant histological type was squamous cell carcinoma (79.6%). A total of 282 partially covered and 41 fully covered SEMSs were inserted. Of the 323 patients, 182 did not received RT, 118 received RT before SEMS placement and 23 after. Comparing the group that received RT before stent insertion with the group that did not, the first one presented a higher frequency of severe pain (9/118 7.6% vs. 3/182 1.6%; P = 0.02). The group treated with RT after stent placement had a higher risk of global AEs (13/23 56.5% vs. 63/182 34.6%; P = 0.019), ingrowth/overgrowth (6/23 26.1% vs. 21/182 11.5%; P = 0.045) and gastroesophageal reflux (2/23 8.7% vs. 2/182 1.1%; P = 0.034). Treatment with RT before stent placement in patients with inoperable esophageal neoplasm prolongs survival and is associated with an increased risk of severe chest pain. Treatment with RT of patients with an esophageal stent increases the frequency of minor, not life-threatening AEs.

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Treatment of complications caused by metallic stent placement in esophageal cancer

Cited by 4 publications

References 22 publications

Minimally invasive management of esophageal perforation

Minimally invasive management of esophageal perforation

A novel technique to remove migrated esophageal stent under fluoroscopy

Impact of radiotherapy on adverse events of self-expanding metallic stents in patients with esophageal cancer

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