PALLIATIVE TREATMENT OF DYSPHAGIA: FAILURES AND COMPLICATIONS
Background. Dysphagia is the main clinical symptom in patients with locally advanced esophageal carcinoma and proximal part of the stomach. Esophageal stenting is a highly effective and safe method to restore esophageal lumen patency. Published data indicate a high rate of stent-related complication...
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Russian Academy of Sciences, Tomsk National Research Medical Center
2017-03-01
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| Series: | Сибирский онкологический журнал |
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| Online Access: | https://www.siboncoj.ru/jour/article/view/495 |
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| author | E. A. Drobyazgin Yu. V. Chikinev A. A. Zheravin A. S. Kudryavtsev |
| author_facet | E. A. Drobyazgin Yu. V. Chikinev A. A. Zheravin A. S. Kudryavtsev |
| author_sort | E. A. Drobyazgin |
| collection | DOAJ |
| description | Background. Dysphagia is the main clinical symptom in patients with locally advanced esophageal carcinoma and proximal part of the stomach. Esophageal stenting is a highly effective and safe method to restore esophageal lumen patency. Published data indicate a high rate of stent-related complications. Material and methods. A retrospective, two-centered study included 166 patients (102 males and 64 females), who underwent endoscopically-guided esophageal stenting from 2004 to 2015. The age of the patients ranged from 36 to 92 years. Expandable metal stents were used for all patients. In most cases (81.3%), drug-eluting stents (22 mm diameter, 120 mm length) were preferable. Treatment outcomes and complications were analyzed. Results. Complications during stent placement (incorrect stent disclosure) were observed in 7 patients. All these complications were eliminated by relocating the stent to the desired position. Postoperative complications were noted in 29 patients (stent migration in 9 patients, stent fracture and migration in 2 patients, stent obstruction in 1 patient, destruction of stent coating and fragmentation in 5 patients, and dysphagia recurrence due to continuing tumor growth in 11 patients). All stent-related complications were corrected by re-endoscopy. Conclusions. The data obtained indicate the need for lifelong surveillance of patients after stenting. |
| format | Article |
| id | doaj-art-13ad24ac87a94411b806e5ef589edf96 |
| institution | DOAJ |
| issn | 1814-4861 2312-3168 |
| language | Russian |
| publishDate | 2017-03-01 |
| publisher | Russian Academy of Sciences, Tomsk National Research Medical Center |
| record_format | Article |
| series | Сибирский онкологический журнал |
| spelling | doaj-art-13ad24ac87a94411b806e5ef589edf962025-08-20T02:59:10ZrusRussian Academy of Sciences, Tomsk National Research Medical CenterСибирский онкологический журнал1814-48612312-31682017-03-01161768110.21294/1814-4861-2017-16-1-76-81421PALLIATIVE TREATMENT OF DYSPHAGIA: FAILURES AND COMPLICATIONSE. A. Drobyazgin0Yu. V. Chikinev1A. A. Zheravin2A. S. Kudryavtsev3Novosibirsk State Medical University, NovosibirskNovosibirsk State Medical University, Novosibirsk E.N. Meshalkin Siberian Biomedical Research Center, Ministry of Health Russian Federation, Center of Oncology and Radiotherapy, NovosibirskE.N. Meshalkin Siberian Biomedical Research Center, Ministry of Health Russian Federation, Center of Oncology and Radiotherapy, NovosibirskE.N. Meshalkin Siberian Biomedical Research Center, Ministry of Health Russian Federation, Center of Oncology and Radiotherapy, NovosibirskBackground. Dysphagia is the main clinical symptom in patients with locally advanced esophageal carcinoma and proximal part of the stomach. Esophageal stenting is a highly effective and safe method to restore esophageal lumen patency. Published data indicate a high rate of stent-related complications. Material and methods. A retrospective, two-centered study included 166 patients (102 males and 64 females), who underwent endoscopically-guided esophageal stenting from 2004 to 2015. The age of the patients ranged from 36 to 92 years. Expandable metal stents were used for all patients. In most cases (81.3%), drug-eluting stents (22 mm diameter, 120 mm length) were preferable. Treatment outcomes and complications were analyzed. Results. Complications during stent placement (incorrect stent disclosure) were observed in 7 patients. All these complications were eliminated by relocating the stent to the desired position. Postoperative complications were noted in 29 patients (stent migration in 9 patients, stent fracture and migration in 2 patients, stent obstruction in 1 patient, destruction of stent coating and fragmentation in 5 patients, and dysphagia recurrence due to continuing tumor growth in 11 patients). All stent-related complications were corrected by re-endoscopy. Conclusions. The data obtained indicate the need for lifelong surveillance of patients after stenting.https://www.siboncoj.ru/jour/article/view/495esophageal canceresophageal stentingexpandable metal stentspalliative treatment of dysphagiastent-related complications |
| spellingShingle | E. A. Drobyazgin Yu. V. Chikinev A. A. Zheravin A. S. Kudryavtsev PALLIATIVE TREATMENT OF DYSPHAGIA: FAILURES AND COMPLICATIONS Сибирский онкологический журнал esophageal cancer esophageal stenting expandable metal stents palliative treatment of dysphagia stent-related complications |
| title | PALLIATIVE TREATMENT OF DYSPHAGIA: FAILURES AND COMPLICATIONS |
| title_full | PALLIATIVE TREATMENT OF DYSPHAGIA: FAILURES AND COMPLICATIONS |
| title_fullStr | PALLIATIVE TREATMENT OF DYSPHAGIA: FAILURES AND COMPLICATIONS |
| title_full_unstemmed | PALLIATIVE TREATMENT OF DYSPHAGIA: FAILURES AND COMPLICATIONS |
| title_short | PALLIATIVE TREATMENT OF DYSPHAGIA: FAILURES AND COMPLICATIONS |
| title_sort | palliative treatment of dysphagia failures and complications |
| topic | esophageal cancer esophageal stenting expandable metal stents palliative treatment of dysphagia stent-related complications |
| url | https://www.siboncoj.ru/jour/article/view/495 |
| work_keys_str_mv | AT eadrobyazgin palliativetreatmentofdysphagiafailuresandcomplications AT yuvchikinev palliativetreatmentofdysphagiafailuresandcomplications AT aazheravin palliativetreatmentofdysphagiafailuresandcomplications AT askudryavtsev palliativetreatmentofdysphagiafailuresandcomplications |