PMID: 8944460Oct 1, 1996Paper

Use of covered expandable metal stents in the treatment of oesophageal carcinoma and tracheo-oesophageal fistula

The British Journal of Surgery
T A Cook, T C Dehn

Abstract

Palliation for malignant dysphagia has relied on oesophageal dilatation, insertion of rigid prostheses and laser treatment. All three methods have substantial risk of perforation. Displacement of the tube is also well described. Seventeen expandable polyethylene-covered metal stents were inserted in 15 patients with oesophageal carcinoma; there were 11 men and four women, of median age 70 years. Thirteen stents were inserted for dysphagia and four for tracheo-oesophageal fistula (TOF). Stents were inserted endoscopically under fluorosopic control. Seven patients died from their disease a median of 5 (range 1-11) months after stent insertion. Median follow-up in the remainder is 6 (range 1-11) months. Median dysphagia scores before and after insertion were 3 (range 2-4) and 1 (range 1-2) respectively. Stent insertion provided cure of symptoms in patients with TOF. Median hospital stay following insertion was 2 (range 1-20) nights. There were no deaths and no perforations associated with the procedure. Two patients complained of retrosternal chest pain for 2 days after stent insertion. One patient presented with dysphagia related to later stent migration. There has been no deterioration in symptoms of dysphagia in the remainder. ...Continue Reading

References

Oct 1, 1990·The British Journal of Surgery·D Alderson, P D Wright
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May 1, 1988·Radiotherapy and Oncology : Journal of the European Society for Therapeutic Radiology and Oncology·R J CaspersJ W Leer
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Citations

Jul 13, 2005·Cardiovascular and Interventional Radiology·Kazushi KishiMorio Sato
Aug 6, 2008·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Akos BalazsZoltan Galambos
Oct 3, 2003·Journal of Pediatric Surgery·Ayşenur Cerrah Celayir, Ergun Erdoğan
Aug 26, 1998·Critical Reviews in Oncology/hematology·Y Tachimori, H Kato
Jun 13, 2003·Digestive and Liver Disease : Official Journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver·P P KostopoulosP E T Isaacs
Mar 21, 1998·The British Journal of Surgery·N R LagattollaA A Dunk
Jul 22, 2008·Magyar onkologia·Akos BalázsZoltán Galambos
Mar 27, 1998·Scandinavian Journal of Gastroenterology. Supplement·P D SiersemaM van Blankenstein
Apr 22, 2005·Scandinavian Journal of Gastroenterology·David Mitton, Roger Ackroyd
Jul 14, 2021·The Journal of Surgical Research·Lukas F LiesenfeldAnja Schaible
Dec 21, 2010·The Journal of Thoracic and Cardiovascular Surgery·Yiyang DaiMichael Hünerbein

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