[Solving of complications arising during and after application self-expandible metallic stents in palliation of malignant dysphagia].
Acta Chir Iugosl
; 56(4): 91-7, 2009.
Article
en Sr
| MEDLINE
| ID: mdl-20420003
ABSTRACT
INTRODUCTION:
During palliative treatment of malignant disphagia in inoperabile patients various and serious complications may occur and compromite the method of treatment if there were not solved.AIM:
Goal is to present the most frequent complications due to esophageal stenting and the way of their solving. MATERIALS ANDMETHOD:
From 1996. to 2009. in 237 patients (164 esophageal carcinoma, 33 carcinoma of the esophagogastric junction, 14 bronchial carcinoma, 7 esophagojejunal anastomosis, 9 esophageal fistulas) 245 stents have been placed (54 uncovered and 191 covered). Mean survival period was 14.7 months (ranged from 1 do 33 months). Esophageal perforation (1), stent migration (9), malignant tissue ingrowth (31) and overgrowth (24) have been revealed by barium contrast study during follow up. Perforation was solved by placing covered stent, migration by removing migrated stent endoscopically or surgically, ingrowth and overgrowth by balon dilating or restenting under the fluoroscopically guidance and control.CONCLUSION:
One can expect and recognize complications regarding esophageal stenting because it is the only way for their sucsessfull treatment.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Cuidados Paliativos
/
Trastornos de Deglución
/
Stents
Tipo de estudio:
Etiology_studies
/
Guideline
Límite:
Humans
Idioma:
Sr
Revista:
Acta Chir Iugosl
Año:
2009
Tipo del documento:
Article