Palliative treatment of neoplastic strictures by self-expanding nitinol Strecker stent |
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Authors: | M Pocek F Maspes S Masala E Squillaci G Assegnati A Moraldi G Simonetti |
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Institution: | (1) Department of Radiology, University of Rome Tor Vergata, Rome, Italy;(2) Department of Surgery, University of Rome Tor Vergata, Rome, Italy;(3) Present address: Hospital S. Eugenio via del'Umanesimo 10, I-00144 Rome, Italy |
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Abstract: | The purpose of this study was to evaluate technical and clinical results of self-expanding esophageal stent implanted in patients with malignant esophageal strictures and clinically significant dysphagia. From June 1992 to September 1994, 27 patients with inoperable tumors of the esophagus or gastric cardiac were treated by placement of 37 self-expanding nitinol stents. Water-soluble contrast and endoscopy studies were performed after the procedure and during the follow-up period. Successful stenting of the stricture was achieved in 27 patients. The mean dysphagia grade dropped from 2.3 to 1 (SD ± 0.54) immediately after the procedure. After the insertion of the stent, 16 patients died in a period of time ranging from 0 to 13 months (mean 5.6 months), whereas at the end of the study 11 patients were alive 4–15 months after the procedure (mean 8.3 months). No major complications were observed. The results of this study are encouraging because esophageal stent placement was technically easy and clinically effective.
Correspondence to: F. Maspes |
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Keywords: | Esophagus neoplasm Esophagus stenosis or obstruction Gastrointestinal stents Self-expanding metal stent |
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