[The palliative therapy of malignant esophageal obstruction with self-expanding metal endoprostheses].
A total of 23 self-expanding metal stents were implanted in 17 patients (12 men, 5 women; mean age 66 [44-83] years) with inoperable malignant obstruction of the oesophagus or the oesophago-gastric junction. A primary success was achieved in all, a good functional result in 16 (94%). There were no complications. In the follow-up period (mean of 15.2 +/- 13 weeks) re-obstruction by the tumour process occurred in three patients. Twelve patients died after a mean survival time of 15.8 +/- 14 weeks. In ten of these the stent was still patent at death, while two had again developed dysphagia. The cumulative patency rate of the stents was 79%. These observations indicate that self-expanding metal stents can achieve satisfactory palliation in dysphagia due to a malignancy. The mortality and morbidity rates of the method seem to be less than those of other palliative measures.
Institut für Röntgendiagnostik, Krankenhaus Neukölln, Berlin.
H J
HJ
Wagner
K
K
Knyrim
N
N
Bethge
E
E
Starck
N
N
Sommer
J
J
Pausch
D
D
von Kleist
D000230:Adenocarcinoma / Q000150:complications / Q000628:therapy*; D000368:Aged; D000369:Aged, 80 and over; D002294:Carcinoma, Squamous Cell / Q000150:complications / Q000628:therapy*; D003680:Deglutition Disorders / Q000209:etiology / Q000628:therapy; D004867:Equipment Design; D004938:Esophageal Neoplasms / Q000150:complications / Q000628:therapy*; D004940:Esophageal Stenosis / Q000209:etiology / Q000628:therapy*; D004945:Esophagoscopy / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D010166:Palliative Care / Q000295:instrumentation* / Q000379:methods; D012008:Recurrence; D015607:Stents
Palliativtherapie der malignen Osophagusobstruktion mit selbstexpandierenden Metallendoprothesen.