Palliation of malignant esophageal obstruction due to intrinsic and extrinsic lesions with expandable metal stents

Bethge, N

doi:10.1016/s0002-9270(98)00409-2

Cited by 33 publications

(30 citation statements)

References 10 publications

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“…Extrinsic compression of the esophagus due to lung cancer or mediastinal malignancies can also cause troubling symptoms, although it is less common [16][17][18]. In addition, malignant GO obstruction is a common pre-terminal complication of advanced gastric, pancreato-biliary and metastatic carcinoma [19].…”

Section: Discussionmentioning

confidence: 99%

Clinical Outcomes and Patency of Self-expanding Metal Stents in Patients with Malignant Upper Gastrointestinal Obstruction

Kang

Kim

et al. 2007

Dig Dis Sci

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This study was performed to evaluate clinical outcomes and factors associated with patency of self-expanding metal stents (SEMS) in patients with malignant upper gastrointestinal (UGI) obstruction. In 83 patients with malignant UGI obstruction, 118 SEMS placements were performed. Obstruction sites were esophagus/gastro-esophageal junction (GEJ) and gastric outlet (GO) in 41 and 42 patients, respectively. Technical success was achieved in 99.2% and clinical success in 90.5%, with no procedure-related complications. Re-obstruction and migration occurred in 38.1% during a mean follow-up of 137 days; both occurred significantly more often with GO than esophageal/GEJ obstruction (49.2% vs 23.9%). Patency rates of esophageal/GEJ obstruction were 93.5, 78.1 and 67.0% at 30, 90 and 180 days, respectively, and were significantly higher than those of GO obstruction-71.7, 51.8 and 32.5%. Palliative chemotherapy or radiation therapy was not associated with stent patency. Endoscopic SEMS placement is a safe and effective palliative treatment for malignant UGI obstruction, and complications or stent patency differed according to obstruction site.

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Section: Discussionmentioning

confidence: 99%

Clinical Outcomes and Patency of Self-expanding Metal Stents in Patients with Malignant Upper Gastrointestinal Obstruction

Kang

Kim

et al. 2007

Dig Dis Sci

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“…5 Successful palliation has recently been achieved using a self-expandable soft-seal wall stent. 6,7 Although this is a less invasive method of surgery, some patients are still unable to ingest food 5 and the stent occasionally penetrates into an adjacent organ. 8,9 Successful bypass operations have also been reported, 10,11 but these are associated with some risk, and will not alleviate symptoms caused by a bronchoesophageal fistula.…”

Section: Discussionmentioning

confidence: 99%

The Effectiveness of Palliative Resection for Advanced Esophageal Carcinoma: Analysis of 24 Consecutive Cases

et al. 2002

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“…Malignant esophageal fistula and strictures due to villous tumors with budding are the main indication of partially covered stents because migration rate is low and removal is generally not possible because of tissue embedding [15]. In case of external esophageal compression, SEMS can be performed but it is generally less effective than for intraluminal lesions [16].…”

Section: Malignant Stricturesmentioning

confidence: 99%

Gastrointestinal stenting: Current status and imaging features

Malgras

Dico

Pautrat

et al. 2015

Diagnostic and Interventional Imaging

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The use of stents in the gastrointestinal tract has been subjected to major changes. Initially, the use of stents was restricted to malignant strictures in patients with metastatic disease. But thanks to reduction of the morbidity and mortality rates, they are now used with curative intention and in patients with benign diseases after careful selection. However, for patients presenting with colon obstruction due to an advanced colon carcinoma, the mortality and morbidity are still high. The purpose of this review is to provide an overview of indications, techniques and further developments of the stents in the gastrointestinal tract and to highlight the predominant role of multidetector row computed tomography (MDCT) in the detection of potential complications.

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Palliation of malignant esophageal obstruction due to intrinsic and extrinsic lesions with expandable metal stents

Abstract: Patients with intrinsic lesions have better palliation of dysphagia than those with extrinsic lesions. Future studies with other study designs will need to consider this.

Cited by 33 publications

References 10 publications

Clinical Outcomes and Patency of Self-expanding Metal Stents in Patients with Malignant Upper Gastrointestinal Obstruction

Clinical Outcomes and Patency of Self-expanding Metal Stents in Patients with Malignant Upper Gastrointestinal Obstruction

The Effectiveness of Palliative Resection for Advanced Esophageal Carcinoma: Analysis of 24 Consecutive Cases

Gastrointestinal stenting: Current status and imaging features

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