Palliative Treatment of Malignant Inoperable Esophageal Strictures with Self-Expandable Metallic Stents: Single Center Experience with 155 Patients.
Objective: A retrospective study was designed to investigate the success and the complication rates of different types of self-expandable metallic stents in patients with inoperable malignant esophageal strictures. Material and Methods: One hundred fifty five patients with malignant esophageal stric...
| Publicado en: | Turkiye Klinikleri Journal of Medical Sciences Vol. 31; no. 4; pp. 873 - 882 |
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| Autores principales: | , , , , |
| Formato: | diagnostic images pictorial research Journal Article |
| Publicado: |
Turkiye Klinikleri
Aug2011
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104636556&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104636556 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 13000292 1VOP jtl: Turkiye Klinikleri Journal of Medical Sciences issn: 13000292 maglogo: N pubinfo: dt: Aug2011 vid: 31 iid: 4 pid: 67298 pub: Turkiye Klinikleri artinfo: ui: 104636556 104636556 2011333751 10.5336/medsci.2010-17117 104636556 ppf: 873 ppct: 9 formats: fmt: @attributes: type: P tig: atl: Palliative Treatment of Malignant Inoperable Esophageal Strictures with Self-Expandable Metallic Stents: Single Center Experience with 155 Patients. aug: au: Hekimoglu, Baki Özbal, Serra Tatar, Idil G Dönmez, Halil Öztürk, Halil sug: subj: Esophageal Neoplasms Surgery Palliative Care Stents Treatment Outcomes Adult Aged Aged, 80 and Over Deglutition Disorders Diagnosis Descriptive Statistics Female Human Male Middle Age Adult: 19-44 years Aged: 65+ years Aged, 80 & over Middle Aged: 45-64 years Female Male ab: Objective: A retrospective study was designed to investigate the success and the complication rates of different types of self-expandable metallic stents in patients with inoperable malignant esophageal strictures. Material and Methods: One hundred fifty five patients with malignant esophageal strictures received self-expandable metallic stents under fluoroscopic guidance in our clinic between the years 1994 and 2008. A total of 137 men and 18 women aged between 26- 83 years (mean age, 58.9 years) were included in the study. Stent types used include Strecker, Wallstent, covered Wallstent, Flamingo Wallstent, Choo Stent and Song Stent. Complications of different stent types and dysphagia scores of the patients were evaluated both prior to the stent placement and afterwards. Results: Stent delivery tecnique was successful in all patients. The average dysphagia score decreased from 3.1 (dysphagia to liquids) to 1.2 (dysphagia to normal solid food) providing a 1.9 improvement in the dysphagia score. In eight cases (5.2%) early complications such as malposition and early migration were detected. In 30 cases (19.4%) late complications such as ingrowth, overgrowth, coexistence of ingrowth and overgrowth, late migration, esophago-bronchial fistula and bleeding were detected. Conclusion: Placement of self-expandable metallic stents in the palliative treatment of malignant esophageal strictures is an easily applied, well-tolerated and effective method which improves the dysphagia score of the patients with low complication rates. Our results are in agreement with the literature. The selection of the ideal stent for each patient is of great importance. pubtype: Academic Journal doctype: diagnostic images pictorial research Journal Article ougenre: Article language: Turkish refInfo: holdings: @attributes: islocal: N |
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