Esophageal stent fixation with endoscopic suturing device improves clinical outcomes and reduces complications in patients with locally advanced esophageal cancer prior to neoadjuvant therapy: a large multicenter experience
| Autor: | Ayesha Soomro, Alex M. Sarkisian, Reem Z. Sharaiha, Thomas E. Kowalski, Ammara Khalid, Nikhil A. Kumta, Syed M. Mazhar, David E. Loren, Jose Nieto, Michel Kahaleh, Ali A. Siddiqui, Juliana Yang, Ankush Kalra, Laura Isby, Julian Rosé |
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| Rok vydání: | 2016 |
| Předmět: |
Male
medicine.medical_specialty Esophageal Neoplasms medicine.medical_treatment Perforation (oil well) Self Expandable Metallic Stents Adenocarcinoma 03 medical and health sciences 0302 clinical medicine Postoperative Complications Esophageal stent Self-expandable metallic stent Medicine Humans Neoadjuvant therapy Aged Neoplasm Staging Retrospective Studies Esophageal Perforation business.industry Suture Techniques Stent Esophageal cancer Middle Aged medicine.disease Dysphagia Neoadjuvant Therapy Surgery Prosthesis Failure 030220 oncology & carcinogenesis Case-Control Studies Carcinoma Squamous Cell Gastroesophageal Reflux 030211 gastroenterology & hepatology Female Radiology Esophagoscopy medicine.symptom business Deglutition Disorders Abdominal surgery |
| Zdroj: | Surgical endoscopy. 31(3) |
| ISSN: | 1432-2218 |
| Popis: | Endoscopic placement of fully covered self-expanding metal stents (FCSEMS) to treat malignant dysphagia in patients with esophageal cancer significantly improves dysphagia; however, these stents have a high migration rate. To determine whether FCSEMS fixation using an endoscopic suturing device treated malignant dysphagia and prevented stent migration in patients with locally advanced esophageal cancer receiving neoadjuvant therapy when compared to patients with FCSEMS placement alone. A review of patients with locally advanced esophageal cancer who underwent FCSEMS placement at 3 centers was performed. Patients were divided into two groups: Group A (n = 26) was composed of patients who underwent FCSEMS placement with suture placement, and Group B (n = 67) was composed of patients with FCSEMS placement alone. There were no significant differences between Groups A and B in demographics, and tumor characteristics. The technical success rate for stent placement was 100 %. There was no difference between Groups A and B in the median stent diameter and stent lengths. Mean dysphagia score obtained at 1 week after stent placement had improved significantly from baseline (2.4 and 1, respectively, p |
| Databáze: | OpenAIRE |
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