TY - JOUR
T1 - Covered, expandable esophageal metallic stent tubes
T2 - Experiences in 119 patients
AU - Song, Ho Young
AU - Do, Young Soo
AU - Han, Young Min
AU - Sung, Kyu Bo
AU - Choi, Eun Kyung
AU - Sohn, Kwang Hyun
AU - Kim, Hae Ryun
AU - Kim, Sang Hee
AU - Min, Young Il
PY - 1994/12
Y1 - 1994/12
N2 - PURPOSE: To study fluoroscopic placement of covered expandable stent tubes in patients with esophagogastric strictures. MATERIALS AND METHODS: Under fluoroscopic guidance, 132 stent tubes were placed in 116 patients with malignant neoplasms; four, in three patients with benign lesions. All patients had aphagia or dysphagia to soft food or liquid. RESULTS: After placement (successful in 100% of cases), 93 (78%) of the patients could ingest solid food; 24 (20%), soft food. Complications in the 119 patients included blockage in 13, stent tube migration in 12, gastroesophageal reflux in nine, severe pain in nine, and delayed massive bleeding in four. Most major complications were managed by means of a balloon catheter, a second stent tube, or analgesics. One hundred four patients died 2-80 weeks after stent placement. CONCLUSION: Treatment with placement of a covered expandable stent tube is effective in most patients with dysphagia due to malignant esophogastric strictures and is less effective in patients with benign strictures.
AB - PURPOSE: To study fluoroscopic placement of covered expandable stent tubes in patients with esophagogastric strictures. MATERIALS AND METHODS: Under fluoroscopic guidance, 132 stent tubes were placed in 116 patients with malignant neoplasms; four, in three patients with benign lesions. All patients had aphagia or dysphagia to soft food or liquid. RESULTS: After placement (successful in 100% of cases), 93 (78%) of the patients could ingest solid food; 24 (20%), soft food. Complications in the 119 patients included blockage in 13, stent tube migration in 12, gastroesophageal reflux in nine, severe pain in nine, and delayed massive bleeding in four. Most major complications were managed by means of a balloon catheter, a second stent tube, or analgesics. One hundred four patients died 2-80 weeks after stent placement. CONCLUSION: Treatment with placement of a covered expandable stent tube is effective in most patients with dysphagia due to malignant esophogastric strictures and is less effective in patients with benign strictures.
KW - Esophagus, grafts and prostheses
KW - Esophagus, interventional procedure
KW - Esophagus, neoplasms
KW - Esophagus, stenosis or obstruction
KW - Stents and prostheses
UR - http://www.scopus.com/inward/record.url?scp=0028046174&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0028046174&partnerID=8YFLogxK
U2 - 10.1148/radiology.193.3.7526414
DO - 10.1148/radiology.193.3.7526414
M3 - Article
C2 - 7526414
AN - SCOPUS:0028046174
VL - 193
SP - 689
EP - 695
JO - Radiology
JF - Radiology
SN - 0033-8419
IS - 3
ER -