Comparison of Efficacy of Self-Expandable Metallic Stent Placement in the Unresectable Esophageal Cancer Patients
This is a retrospective study to evaluate the prevention of complications of metallic stent placement in patients with unresectable advanced esophageal cancer. A total of 87 patients were treated with 4 types of metal stents in the esophagus over a period of 18 years. Stent placement was technically...
Saved in:
| Main Authors: | , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2017-01-01
|
| Series: | Gastroenterology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2017/2560510 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849685198319386624 |
|---|---|
| author | Masaya Uesato Yasunori Akutsu Kentarou Murakami Yorihiko Muto Akiko Kagaya Akira Nakano Mizuho Aikawa Tomohide Tamachi Takahiro Arasawa Hiroyuki Amagai Yasuhide Muto Hisahiro Matsubara |
| author_facet | Masaya Uesato Yasunori Akutsu Kentarou Murakami Yorihiko Muto Akiko Kagaya Akira Nakano Mizuho Aikawa Tomohide Tamachi Takahiro Arasawa Hiroyuki Amagai Yasuhide Muto Hisahiro Matsubara |
| author_sort | Masaya Uesato |
| collection | DOAJ |
| description | This is a retrospective study to evaluate the prevention of complications of metallic stent placement in patients with unresectable advanced esophageal cancer. A total of 87 patients were treated with 4 types of metal stents in the esophagus over a period of 18 years. Stent placement was technically successful. The most common prior treatment was chemoradiotherapy. There were no significant differences in the rate of patients with no complications among the prior treatments. Approximately, 30% of patients had the most common chest pain in complications. Stent placement within one month after the completion of chemoradiotherapy should be avoided for the prevention of the chest pain. There was no significant difference in the rate of patients with no complications by lesion location. The rate of no complications was higher for the Niti-S stent than the Gianturco Z-stent or Ultraflex stent. Of note, no complications were noted for the Niti-S ultrathin stent at all. Among cases of stent-related death, the most common type of complication was respiratory disorder caused by the stent that seems to be thick and hard. Therefore, the stent with thin and flexible characteristics like the Niti-S ultrathin stent will solve the various problems of esophageal stent placement. |
| format | Article |
| id | doaj-art-b9790b11296146eb9312e5598e0f2ef9 |
| institution | DOAJ |
| issn | 1687-6121 1687-630X |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Gastroenterology Research and Practice |
| spelling | doaj-art-b9790b11296146eb9312e5598e0f2ef92025-08-20T03:23:14ZengWileyGastroenterology Research and Practice1687-61211687-630X2017-01-01201710.1155/2017/25605102560510Comparison of Efficacy of Self-Expandable Metallic Stent Placement in the Unresectable Esophageal Cancer PatientsMasaya Uesato0Yasunori Akutsu1Kentarou Murakami2Yorihiko Muto3Akiko Kagaya4Akira Nakano5Mizuho Aikawa6Tomohide Tamachi7Takahiro Arasawa8Hiroyuki Amagai9Yasuhide Muto10Hisahiro Matsubara11Department of Frontier Surgery, Chiba University Graduate School of Medicine, Chiba-shi, Chiba 260-8670, JapanDepartment of Frontier Surgery, Chiba University Graduate School of Medicine, Chiba-shi, Chiba 260-8670, JapanDepartment of Frontier Surgery, Chiba University Graduate School of Medicine, Chiba-shi, Chiba 260-8670, JapanDepartment of Frontier Surgery, Chiba University Graduate School of Medicine, Chiba-shi, Chiba 260-8670, JapanDepartment of Frontier Surgery, Chiba University Graduate School of Medicine, Chiba-shi, Chiba 260-8670, JapanDepartment of Frontier Surgery, Chiba University Graduate School of Medicine, Chiba-shi, Chiba 260-8670, JapanDepartment of Frontier Surgery, Chiba University Graduate School of Medicine, Chiba-shi, Chiba 260-8670, JapanDepartment of Frontier Surgery, Chiba University Graduate School of Medicine, Chiba-shi, Chiba 260-8670, JapanDepartment of Frontier Surgery, Chiba University Graduate School of Medicine, Chiba-shi, Chiba 260-8670, JapanDepartment of Frontier Surgery, Chiba University Graduate School of Medicine, Chiba-shi, Chiba 260-8670, JapanDepartment of Frontier Surgery, Chiba University Graduate School of Medicine, Chiba-shi, Chiba 260-8670, JapanDepartment of Frontier Surgery, Chiba University Graduate School of Medicine, Chiba-shi, Chiba 260-8670, JapanThis is a retrospective study to evaluate the prevention of complications of metallic stent placement in patients with unresectable advanced esophageal cancer. A total of 87 patients were treated with 4 types of metal stents in the esophagus over a period of 18 years. Stent placement was technically successful. The most common prior treatment was chemoradiotherapy. There were no significant differences in the rate of patients with no complications among the prior treatments. Approximately, 30% of patients had the most common chest pain in complications. Stent placement within one month after the completion of chemoradiotherapy should be avoided for the prevention of the chest pain. There was no significant difference in the rate of patients with no complications by lesion location. The rate of no complications was higher for the Niti-S stent than the Gianturco Z-stent or Ultraflex stent. Of note, no complications were noted for the Niti-S ultrathin stent at all. Among cases of stent-related death, the most common type of complication was respiratory disorder caused by the stent that seems to be thick and hard. Therefore, the stent with thin and flexible characteristics like the Niti-S ultrathin stent will solve the various problems of esophageal stent placement.http://dx.doi.org/10.1155/2017/2560510 |
| spellingShingle | Masaya Uesato Yasunori Akutsu Kentarou Murakami Yorihiko Muto Akiko Kagaya Akira Nakano Mizuho Aikawa Tomohide Tamachi Takahiro Arasawa Hiroyuki Amagai Yasuhide Muto Hisahiro Matsubara Comparison of Efficacy of Self-Expandable Metallic Stent Placement in the Unresectable Esophageal Cancer Patients Gastroenterology Research and Practice |
| title | Comparison of Efficacy of Self-Expandable Metallic Stent Placement in the Unresectable Esophageal Cancer Patients |
| title_full | Comparison of Efficacy of Self-Expandable Metallic Stent Placement in the Unresectable Esophageal Cancer Patients |
| title_fullStr | Comparison of Efficacy of Self-Expandable Metallic Stent Placement in the Unresectable Esophageal Cancer Patients |
| title_full_unstemmed | Comparison of Efficacy of Self-Expandable Metallic Stent Placement in the Unresectable Esophageal Cancer Patients |
| title_short | Comparison of Efficacy of Self-Expandable Metallic Stent Placement in the Unresectable Esophageal Cancer Patients |
| title_sort | comparison of efficacy of self expandable metallic stent placement in the unresectable esophageal cancer patients |
| url | http://dx.doi.org/10.1155/2017/2560510 |
| work_keys_str_mv | AT masayauesato comparisonofefficacyofselfexpandablemetallicstentplacementintheunresectableesophagealcancerpatients AT yasunoriakutsu comparisonofefficacyofselfexpandablemetallicstentplacementintheunresectableesophagealcancerpatients AT kentaroumurakami comparisonofefficacyofselfexpandablemetallicstentplacementintheunresectableesophagealcancerpatients AT yorihikomuto comparisonofefficacyofselfexpandablemetallicstentplacementintheunresectableesophagealcancerpatients AT akikokagaya comparisonofefficacyofselfexpandablemetallicstentplacementintheunresectableesophagealcancerpatients AT akiranakano comparisonofefficacyofselfexpandablemetallicstentplacementintheunresectableesophagealcancerpatients AT mizuhoaikawa comparisonofefficacyofselfexpandablemetallicstentplacementintheunresectableesophagealcancerpatients AT tomohidetamachi comparisonofefficacyofselfexpandablemetallicstentplacementintheunresectableesophagealcancerpatients AT takahiroarasawa comparisonofefficacyofselfexpandablemetallicstentplacementintheunresectableesophagealcancerpatients AT hiroyukiamagai comparisonofefficacyofselfexpandablemetallicstentplacementintheunresectableesophagealcancerpatients AT yasuhidemuto comparisonofefficacyofselfexpandablemetallicstentplacementintheunresectableesophagealcancerpatients AT hisahiromatsubara comparisonofefficacyofselfexpandablemetallicstentplacementintheunresectableesophagealcancerpatients |