TITLE

Palliation of malignant esophageal obstruction and fistulas with covered self expandable metallic stents: assessment of a simple fluroscopic method

AUTHOR(S)
Kai Zhang; Shufang Wei; Jiahong Wu; Caixia Li; Xiangxing Ma; Qingliang Wang
PUB. DATE
August 2015
SOURCE
International Journal of Clinical & Experimental Medicine;2015, Vol. 8 Issue 6, p8860
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Purpose: To introduce a convenient, quick and effective way to place self-expandable metal stents (SEMSs) to relieve dysphagia and fistula caused by esophageal carcinoma. Materials and methods: A consecutive series of 36 patients (25 men, 11 women), aged 38-82 years (median, 52.7 years) underwent stent placement using a 7F long sheath of 55 cm and fully covered SEMS under local anesthesia with fluoroscopic control. Results: Stent placement was successful in all patients. Swallowing improved from mean dysphagia score 3.44 ± 0.50 to score 0.69 ± 0.71 (P = 0.000). There were no clinically significant complications during and after the deployment of stents. Migration was noted in 4 patients. Restenting was needed in 3 patients. Removal was needed in 2 patients. Mean survival following stenting was 134.14 d. Conclusions: SEMSs provide rapid, safe and effective relief of dysphagia and fistula. Using the 7F long sheath of 55 cm could make the procedure easy, quick and safe.
ACCESSION #
108799980

 

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