“…Both of these patients had acute perforations. Although our reintervention rate was higher than that of other series, which describe rates of 21% to 35% [25][26][27], the majority of the patients in these other series had malignant indications for stent placement, whereas the majority of our patients had benign indications.…”
Section: Discussioncontrasting
confidence: 85%
“…The current series demonstrated improvement of dysphagia for 86% of patients with malignant strictures, a success rate that has been documented in previous reports [25,26,33]. The use of SEPS under these circumstances may allow for the avoidance of more invasive procedures such as the placement of gastrostomy and jejunostomy tubes in patients with severe dysphagia.…”
Self-expanding, removable plastic stents are easily and safely placed and removed from the esophagus. This has facilitated their use in the authors' institution for an increasing number of esophageal conditions. Further studies to help define their ultimate role in benign and malignant esophageal pathology are warranted.
“…Both of these patients had acute perforations. Although our reintervention rate was higher than that of other series, which describe rates of 21% to 35% [25][26][27], the majority of the patients in these other series had malignant indications for stent placement, whereas the majority of our patients had benign indications.…”
Section: Discussioncontrasting
confidence: 85%
“…The current series demonstrated improvement of dysphagia for 86% of patients with malignant strictures, a success rate that has been documented in previous reports [25,26,33]. The use of SEPS under these circumstances may allow for the avoidance of more invasive procedures such as the placement of gastrostomy and jejunostomy tubes in patients with severe dysphagia.…”
Self-expanding, removable plastic stents are easily and safely placed and removed from the esophagus. This has facilitated their use in the authors' institution for an increasing number of esophageal conditions. Further studies to help define their ultimate role in benign and malignant esophageal pathology are warranted.
“…Bethge and Vakil [1] reported excellent results using the Polyflex stent in eight patients with malignant esophageal obstruction. Stents were successfully placed in all the patients, and all demonstrated significant dysphagia improvement.…”
Section: Discussionmentioning
confidence: 99%
“…There is only one report in literature reporting the use of the new self-expanding Polyflex stent [1]. We report our experience with this new self-expanding plastic stent, the cost of which is half that of metal stents.…”
Self-expanding Polyflex stents are safe and effective for inoperable esophageal strictures and have an acceptable technical success rate. Further experience, better selection criteria, and design improvements should improve results.
“…Bethge et al [2] described a series of SEPS placements in eight patients with esophageal obstruction and found only one minor complication. Dormann et al [4] reported a larger study of 33 patients exclusively with malignant esophageal strictures.…”
The placement of self-expanding Polyflex plastic stents is a highly sufficient and cost-effective treatment for malignant and benign esophageal disorders. Because the long-term results were highly favorable, self-expanding plastic stent placement could be used as the initial treatment for various conditions.
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