Esophagoenteral stents in patients with recurrent gastric adenocarcinoma.
One of the problems that can appear in patients with total gastrectomy for adenocarcinoma with esophagoenteral anastomosis is the appearance of a stenosis of the anastomosis. These stenosis are frequently malignant due to relapse of neoplasia. The therapeutic possibilities available are the surgical bypass or palliative treatment. There is very little experience described in the literature (21 cases) on the placing of self-expandable metal stents as a palliative treatment for the symptoms of stenosis.We present our experience of 3 patients, in whom 4 esophageal stents were fitted (1 covered and 3 uncovered) with good results. The dysphagia disappeared or improved, it allowed the ingestion of a soft diet and meant an improvement in the quality of life and at the same time stopped the weight loss. It seems an effective palliative treatment as a treatment for dysphagia in patients with tumoral relapse in the anastomosis of total gastrectomies.
Pérez-Roldán
F
F
Unit of Gastroenterology, Complejo Hospitalario La Mancha-Centro, Alcázar de San Juan, Ciudad Real, Spain.
González-Carro
P
P
Legaz-Huidobro
M
M
Oruezabal-Moreno
M
M
Soto Fernández
S
S
Roncero García-Escribano
O
O
de Pedro Esteban
A
A
Ruiz-Carrillo
F
F
Seoane-González
J
J
D000230:Adenocarcinoma / Q000601:surgery* / Q000628:therapy*; D000328:Adult; D000368:Aged; D000713:Anastomosis, Roux-en-Y; D000714:Anastomosis, Surgical; D004947:Esophagus / Q000601:surgery*; D005260:Female; D005743:Gastrectomy; D015390:Gastric Bypass; D006801:Humans; D008297:Male; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local; D010166:Palliative Care; D015607:Stents; D013270:Stomach / Q000601:surgery*; D013274:Stomach Neoplasms / Q000601:surgery* / Q000628:therapy*