Self-expanding Polyflex plastic stents in esophageal disease: various indications, complications, and outcomes
| Autor: | Esther Endlicher, Claudia Ott, Frank Kullmann, J. Schölmerich, Heiko C. Rath, Cornelia M. Gelbmann, N. Ratiu |
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| Rok vydání: | 2006 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Esophageal Neoplasms medicine.medical_treatment Perforation (oil well) Esophageal Disorder Esophageal Diseases medicine Humans Aged Aged 80 and over business.industry Esophageal disease Stent Middle Aged equipment and supplies medicine.disease Dysphagia Surgery Stenosis Treatment Outcome Esophageal Stenosis Female Stents Radiology medicine.symptom Complication business Abdominal surgery |
| Zdroj: | Surgical endoscopy. 21(6) |
| ISSN: | 1432-2218 |
| Popis: | Esophageal stenting has become an important technique in the treatment of different clincal problems such as malignant or benign stenosis, anastomotic leaks after surgery, or fistulas. In this study we present our experience with the self-expanding Polyflex plastic stent in various indications, arising complications, and patient’s outcomes. Over a three-year period, 35 patients underwent self-expanding Polyflex plastic stent placement for esophageal stenosis (n = 23) with 22 malignant, and for perforations, fistulas, or anastomotic leaks after surgery (n = 12). The short-term efficacy and long-term outcomes were analyzed. In patients with stenosis, implantation was performed without any complications in 91% (21/23). In one patient perforation occurred while passing the stenosis; in another patient the stent dislocated during the insertion procedure. Dysphagia score improved from 3.0 to 1.0 after stenting. In all patients with perforations, fistulas, or anastomotic leaks (n = 12), stents were placed successfully without any complication. Complete sealing of the mucosal defect was proven by radiography in 92% (n = 11) and healing was seen in 42% (n = 5). If indicated, stent removal was performed without any complications. Stent migration (n = 13; 37%) was the most common long-term complication. 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. |
| Databáze: | OpenAIRE |
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