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Endoprosthesis implantation at the pharyngo-esophageal level: problems, limitations and challenges.
- Source :
-
World journal of gastroenterology [World J Gastroenterol] 2006 Apr 07; Vol. 12 (13), pp. 2103-8. - Publication Year :
- 2006
-
Abstract
- Aim: To present our experience with endoscopic placement of an esophageal endoprosthesis in 19 patients.<br />Methods: A retrospective evaluation was made for the use of 19 stents positioned at the level of the cervical esophagus: 11 for malignant tumours (7 causing obstruction, 4 complicated by an esophago -tracheal or -cutaneous fistula), and 8 for an acquired benign tracheo-esophageal fistula due to prolonged intubation. The covered Ultraflex stent was used in all cases except two. These two patients had an esophagocutaneous fistula following laryngectomy and a Flamingo Wall stent was used.<br />Results: Stent implantation was technically successful in all patients. Dysphagia score was improved from 3 to 2 in stenosis patients, while sealing of the fistula was achieved in all cases. The median hospital stay was 3 d for malignant tumour patients and 13.5 d for esophagocutaneous fistula patients. One Ultraflex stent and two Flamingo Wall stents were easily removed 33 d and 3 months respectively after implantation when the fistulas had totally occluded.<br />Conclusion: Endoprosthesis implantation for malignancy and/or fistula of malignant or benign origin at the level of the cervical esophagus is an easy, well tolerated, safe and effective procedure with no complications or mortality.
- Subjects :
- Aged
Aged, 80 and over
Esophageal Neoplasms complications
Female
Humans
Length of Stay
Male
Middle Aged
Pharyngeal Neoplasms complications
Retrospective Studies
Esophageal Fistula surgery
Esophageal Neoplasms surgery
Esophageal Stenosis surgery
Pharyngeal Neoplasms surgery
Prosthesis Implantation methods
Stents
Subjects
Details
- Language :
- English
- ISSN :
- 1007-9327
- Volume :
- 12
- Issue :
- 13
- Database :
- MEDLINE
- Journal :
- World journal of gastroenterology
- Publication Type :
- Academic Journal
- Accession number :
- 16610065
- Full Text :
- https://doi.org/10.3748/wjg.v12.i13.2103