Covered, expandable esophageal metallic stent tubes: Experiences in 119 patients

Ho Young Song, Young Soo Do, Young Min Han, Kyu Bo Sung, Eun Kyung Choi, Kwang Hyun Sohn, Hae Ryun Kim, Sang Hee Kim, Young Il Min

Research output: Contribution to journalArticle

268 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)689-695
Number of pages7
JournalRadiology
Volume193
Issue number3
DOIs
StatePublished - Dec 1994

Keywords

  • Esophagus, grafts and prostheses
  • Esophagus, interventional procedure
  • Esophagus, neoplasms
  • Esophagus, stenosis or obstruction
  • Stents and prostheses

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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    Song, H. Y., Do, Y. S., Han, Y. M., Sung, K. B., Choi, E. K., Sohn, K. H., Kim, H. R., Kim, S. H., & Min, Y. I. (1994). Covered, expandable esophageal metallic stent tubes: Experiences in 119 patients. Radiology, 193(3), 689-695. https://doi.org/10.1148/radiology.193.3.7526414