Expandable stents (ES)/unusual locations

Ra, Kozarek; Brandabur, JJ; Raltz, SL

doi:10.1016/s0016-5107(96)80033-2

Cited by 12 publications

(15 citation statements)

References 0 publications

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“…This series also achieved a good clinical outcome (defined as the ability to eat or retain feeds without vomiting) in 80.6% of patients. The reported range of good clinical outcome is 80-100% [6,8,14,15,20]. The result of our series are in agreement with the above-stated numbers, with a technical success rate of 100% and initial clinical improvement of obstructive symptoms of 100%.…”

Section: Discussionsupporting

confidence: 91%

The use of enteral stents in colonic and gastric outlet obstruction

Ely

Arregui

2003

Surg Endosc

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Section: Discussionsupporting

confidence: 91%

The use of enteral stents in colonic and gastric outlet obstruction

Ely

Arregui

2003

Surg Endosc

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“…Two patients (10%) developed tumour ingrowth in our series and were successfully treated by further stenting. Other groups have described the use of lasers [25,26] to treat tumour ingrowth or the formation of palliative stomas [22] when obstructive symptoms reccur.…”

Section: Discussionmentioning

confidence: 99%

Palliative stenting of malignant large bowel obstruction

et al. 2002

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OBJECTIVE: Untreated malignant large bowel obstruction is rapidly fatal. Short-term palliation of symptoms can be achieved by formation of a stoma in those patients for whom resection surgery is inappropriate. In the final months of life, a stoma represents a significant burden for both patients and carers. Palliative endoluminal stenting may therefore be an attractive alternative option for this poor prognosis group. In this paper, we examine our experience of palliative endoluminal colonic stenting. PATIENTS: Twenty patients, 11 males and 9 females of median age 81 years were referred for stenting. All had left sided colonic cancers. Ten patients had confirmed metastases on presentation, four had fixed rectal cancers and the remainder had severe comorbidity limiting surgical options. Stents were placed endoscopically using a radiologically controlled 'stent over wire' technique. RESULTS: Stenting successfully relieved the obstruction in 18 of the 20 patients attempted. In one patient the stricture could not be negotiated and the procedure was abandoned. Eleven patients have died of their disease, their median duration of palliation was 50 days (3-152 days). The rest of the patients continue in follow-up and have had 80 days median palliation (14-257 days). One stent-related complication has been observed in a patient who suffered anal pain due to fracture and migration of part of a stent into the low rectum. This complication occurred after 250 days and the distal stent fragment was removed with further symptom relief. CONCLUSION: Carefully selected patients benefit from colonic endoluminal stenting with relief of obstructive symptoms. They may be spared the potential problems associated with palliative stoma formation.

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“…1-3 Stents have also recently been used in the treatment of gastric outlet obstruction. [6][7][8][9][10][11][12][13][14][15][16][17][18][19] Although biliary and tracheal stents 4 have sometimes been used for this purpose, esophageal stents are preferred because their large diameter allows patients to eat regular food. However, stent placement in the stomach can be difficult because stents designed for the esophagus are short and soft, whereas the morphology of the stomach has much stronger curvature than the straight esophagus.…”

Section: Discussionmentioning

confidence: 99%

“…The stents used to relieve gastric outlet obstruction have primarily been Wall-stents, [8][9][10][11][12]14 although Z-stents [16][17][18] and Ultrafl ex stents [14][15][16][17][18][19] have also been used. Z-stents have a strong force of expansion but little fl exibility; Wall-stents have fl exibility, but a weak force of expansion and both ends are pointed, which presents other risks.…”

Section: Discussionmentioning

confidence: 99%