Volume 5, Issue 6, November 2017, Page: 86-89
Palliation of Neoplastic Esophageal Strictures with Metallic Stents
Neda Nozari, Department of Gastroenterology, Yas Hospital, Tehran University of Medical Sciences, Tehran, Iran
Received: Sep. 18, 2017;       Accepted: Sep. 28, 2017;       Published: Nov. 6, 2017
DOI: 10.11648/j.jctr.20170506.11      View  2334      Downloads  70
Most patients with advanced esophageal neoplasm have dysphagia and suffer from cachexia and malnourishment. Supportive treatments focus on symptom palliation and improving quality of life at this time. Guidelines illustrated some indications for stent use in esophageal neoplasm such as inoperable neoplastic obstruction, presence of neoplastic fistula or perforation, tumor recurrence and contraindication for chemo-radiotherapy. Palliative stents help relieve dysphagia, manage mouth secretions, reduce aspiration risk, and maintain oral intake. Stent placement sometimes requires both endoscopic and fluoroscopic guidance. A stricture dilation is not necessary before stent placement. Success rate of SEMS placement was reported 80-100%. Complications of stents are bleeding, perforation, migration, and tumor ingrowth. Coated SEMS are the treatment of choice in the presence of neoplastic trachea-esophageal fistula. Partially covered stents are used for neoplastic stricture but their removal is sometimes difficult. The stent can be left in esophagus indefinitely for palliation in cases with progressive disease. In this article, we reviewed the recent literatures for efficacy of palliative metal stents placement in patients with esophageal neoplasm.
Dysphagia, Esophageal Cancer, Esophageal Stent, Self Expandable Metal Stent
To cite this article
Neda Nozari, Palliation of Neoplastic Esophageal Strictures with Metallic Stents, Journal of Cancer Treatment and Research. Vol. 5, No. 6, 2017, pp. 86-89. doi: 10.11648/j.jctr.20170506.11
Copyright © 2017 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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