Esophageal strictures: Treatment with a new design of modified gianturco stent: Work in progress

Ho Young Song, Ki Chul Choi, Hyoung Cheol Kwon, Doo Hyun Yang, Baik Hwan Cho, Soo Teik Lee

Research output: Contribution to journalArticle

109 Scopus citations

Abstract

To overcome the drawbacks of the modified Gianturco stent tube with barbs, a new barbless stent tube was constructed. Twenty-two barbless stent tubes 4.5-14.0 cm long were placed with a new introducing tube in 21 patients: 10 stent tubes in 10 patients with recurrent dysphagia after radiation therapy or chemotherapy, 10 in 10 patients with esophageal cancer in whom surgical management was contraindicated, and two in one patient with postoperative benign stricture. No technical failure or procedural complications occurred. After the procedure, all but two patients could ingest most or all foods. In two patients with an esophagorespiratory fistula and one patient with esophageal rupture, the barbless stent tube successfully occluded the fistula and rupture site. The stent tube migrated in one patient. Fifteen patients are surviving, with the stent rubes patent for 3-35 weeks (mean patency, 13 weeks); the six other patients died 7-24 weeks (mean, 16 weeks) after stent placement. It is concluded that barbless stent tubes show promise in the management of dysphagia caused by esophageal strictures.

Original languageEnglish (US)
Pages (from-to)729-734
Number of pages6
JournalRadiology
Volume184
Issue number3
DOIs
StatePublished - Sep 1992
Externally publishedYes

Keywords

  • Esophagus, grafts and prostheses, 71.1299
  • Esophagus, interventional procedure, 71.1299
  • Esophagus, neoplasms, 71.321
  • Esophagus, stenosis or obstruction, 71.744
  • Interventional procedures, 71.321, 71.744

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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