Abstract
To evaluate the clinical efficacy of temporary placement of a retrievable expandable metallic stent (REMS) during preoperative neoadjuvant chemoradiotherapy (CRT) in patients with resectable esophageal cancer. REMSs were placed in 25 patients who underwent preoperative neoadjuvant CRT for resectable esophageal cancer. Stent removal was scheduled between 4 and 6 weeks after starting neoadjuvant CRT. Clinical effectiveness was assessed using the following variables: technical and clinical success, dysphagia score before and after stent placement and removal, and complications and their management. REMS placement was technically successful in all patients, with 24 of 25 patients (96%) showing symptomatic improvement. Stents were removed electively 32 days (range, 27-42 d) after starting neoadjuvant CRT (n = 20; 80%) or after stent migration and exit through the anus with no evidence of symptom recurrence (n = 5; 20%). The dysphagia score (before stent, 3.1 ± 0.5) improved by 3 days after stent placement (1.3 ± 0.4; P < .001) and was maintained up to 1 month after stent removal (1.2 ± 0.7; P < .001). The median survival was 18.6 months. In patients with resectable esophageal cancer, temporary placement of a REMS during preoperative...Continue Reading
References
Nov 1, 1994·The Annals of Thoracic Surgery·A G CassonR J Finley
Mar 5, 2002·Journal of Vascular and Interventional Radiology : JVIR·Ho-Young SongSeung-Il Park
May 21, 2004·Annals of Oncology : Official Journal of the European Society for Medical Oncology·J-L LeeY-I Min
Jul 24, 2007·Gastrointestinal Endoscopy·Jin Hyoung KimJeong Hwan Yook
Jun 23, 2009·Gastrointestinal Endoscopy·Douglas G AdlerKristen Hilden
Jul 29, 2009·Annals of Surgical Oncology·Matthew BowerRobert Martin
Oct 28, 2009·Annals of Surgical Oncology·Felix B LangerJohannes Zacherl
May 21, 2011·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·M G C PellenP K Jain
Dec 20, 2011·Surgical Endoscopy·Jayant P TalrejaVanessa M Shami
Aug 14, 2012·Annals of Oncology : Official Journal of the European Society for Medical Oncology·A Y B TeohE K W Ng
Sep 27, 2012·European Radiology·Han Kyu NaSe Jin Oh
Nov 22, 2012·AJR. American Journal of Roentgenology·Jung-Hoon ParkHeuiran Lee
Feb 2, 2013·Surgical Endoscopy·Gulseren SevenRichard A Kozarek
Feb 23, 2013·European Radiology·Jung-Hoon ParkSung-Bae Kim
Mar 5, 2013·Annals of Surgical Oncology·Bassan J AllanDido Franceschi
Feb 25, 2014·Annals of Oncology : Official Journal of the European Society for Medical Oncology·A C LockhartUNKNOWN American College of Surgeons Oncology Group
Mar 5, 2014·Journal of Surgical Oncology·Ilona KeränenArto Kokkola