PURPOSE: To introduce a convenient, quick and effective way to place self-expandable metal stents (SEMSs) to relieve dysphagia and fistula caused by esophageal carcinoma. MATERIALS AND METHODS: A consecutive series of 36 patients (25 men, 11 women), aged 38-82 years (median, 52.7 years) underwent stent placement using a 7F long sheath of 55 cm and fully covered SEMS under local anesthesia with fluoroscopic control. RESULTS: Stent placement was successful in all patients. Swallowing improved from mean dysphagia score 3.44 ± 0.50 to score 0.69 ± 0.71 (P = 0.000). There were no clinically significant complications during and after the deployment of stents. Migration was noted in 4 patients. Restenting was needed in 3 patients. Removal was needed in 2 patients. Mean survival following stenting was 134.14 d. CONCLUSIONS: SEMSs provide rapid, safe and effective relief of dysphagia and fistula. Using the 7F long sheath of 55 cm could make the procedure easy, quick and safe.
PURPOSE: To introduce a convenient, quick and effective way to place self-expandable metal stents (SEMSs) to relieve dysphagia and fistula caused by esophageal carcinoma. MATERIALS AND METHODS: A consecutive series of 36 patients (25 men, 11 women), aged 38-82 years (median, 52.7 years) underwent stent placement using a 7F long sheath of 55 cm and fully covered SEMS under local anesthesia with fluoroscopic control. RESULTS: Stent placement was successful in all patients. Swallowing improved from mean dysphagia score 3.44 ± 0.50 to score 0.69 ± 0.71 (P = 0.000). There were no clinically significant complications during and after the deployment of stents. Migration was noted in 4 patients. Restenting was needed in 3 patients. Removal was needed in 2 patients. Mean survival following stenting was 134.14 d. CONCLUSIONS: SEMSs provide rapid, safe and effective relief of dysphagia and fistula. Using the 7F long sheath of 55 cm could make the procedure easy, quick and safe.
Authors: Nicole C M van Heel; Jelle Haringsma; Henk Boot; Annemieke Cats; Steven A L W Vanhoutvin; Ernst J Kuipers Journal: Gastrointest Endosc Date: 2012-07 Impact factor: 9.427
Authors: Jayant P Talreja; Mohamad A Eloubeidi; Bryan G Sauer; Basil S Al-Awabdy; Tercio Lopes; Michel Kahaleh; Vanessa M Shami Journal: Surg Endosc Date: 2011-12-17 Impact factor: 4.584
Authors: M Y Homs; E W Steyerberg; E J Kuipers; A van der Gaast; J Haringsma; M van Blankenstein; P D Siersema Journal: Endoscopy Date: 2004-10 Impact factor: 10.093
Authors: Jorge Manuel Tavares Canena; Manuel José Antunes Liberato; Ricardo António Natário Rio-Tinto; Pedro Miguel Pinto-Marques; Carlos Manuel Menezes Romão; António Vasco Mello Pereira Coutinho; Beatriz Alda Henriques Costa Neves; Maria Filipa Costa Neves Santos-Silva Journal: BMC Gastroenterol Date: 2012-06-12 Impact factor: 3.067