Oesophageal stenting: Status Quo and future challenges

Harry Kaltsidis, Wasat Mansoor, Jung Hoon Park, Ho Young Song, Derek William Edwards, Hans Ulrich Laasch

Research output: Contribution to journalReview articlepeer-review

4 Scopus citations

Abstract

Oesophageal stents are widely used for palliating dysphagia from malignant obstruction. They are also used with increasing frequency in the treatment of oesophageal perforation, as well as benign strictures from a variety of causes. Improved oncological treatments have led to prolonged survival of patients treated with palliative intent; as a consequence, stents need to function and last longer in order to avoid repeat procedures. There is also increasing need for meticulous procedure planning, careful selection of the device most appropriate for the individual patient and planned follow-up. Furthermore, as more patients are cured, there will be more issues with resultant long-term side-effects, such as recalcitrant strictures due to radiotherapy or anastomotic scarring, which will have to be addressed. Stent design needs to keep up with the progress of cancer treatment, in order to offer patients the best possible long-term result. This review article attempts to illustrate the changing realities in oesophageal stenting, differences in current stent designs and behaviour, as well as the pressing need to refine and modify devices in order to meet the new challenges.

Original languageEnglish (US)
Article number20170935
JournalBritish Journal of Radiology
Volume91
Issue number1091
DOIs
StatePublished - 2018
Externally publishedYes

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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