[Advantages of endoscopic stenting for malignant gastrointestinal obstructions].
Self-expanding stents play a major role in the interdisciplinary treatment of gastrointestinal obstructions in patients with local nonresectable tumors, advanced metastasis, and pronounced comorbidity. Reinstenting the passage and sealing esophagotracheal fistulae is very effective as palliative treatment for esophageal tumor complications. In hepatobiliary occlusions, the success rate against cholestasis is also high. Enteral and colorectal stents are gaining favor. Required are an experienced endoscopy team and adequate equipment. The rate of procedural complications is generally low, but rare and severe complications such as perforation must be considered. Further improvements in the materials and construction of stents can be expected.
Meier
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PN
Abteilung Gastroenterologie, Hepatologie und Endokrinologie, Medizinische Hochschule Hannover, Carl-Neuberg-Strasse 1, 30625 Hannover. meier.peter@mh-hannover.de
Manns
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MP
D003251:Constriction, Pathologic / Q000628:therapy; D016099:Endoscopy, Gastrointestinal; D019544:Equipment Failure Analysis; D005500:Follow-Up Studies; D005767:Gastrointestinal Diseases / Q000628:therapy*; D005770:Gastrointestinal Neoplasms / Q000628:therapy*; D008670:Metals; D010166:Palliative Care; D010969:Plastics; D011474:Prosthesis Design; D015607:Stents
D008670:Metals; D010969:Plastics