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[Metal stents in gastroenterology].
T Rösch1, A Kyrein, C Zillinger
1II. Medizinische Klinik und Poliklinik der Technischen Universität Klinikum rechts der Isar, München.
Der Chirurg; Zeitschrift Fur Alle Gebiete Der Operativen Medizen
|August 25, 1999
Summary
Self-expanding metal stents effectively reopen gastrointestinal and biliary strictures. While ideal for malignant conditions, their use in benign strictures is limited, though they offer better outcomes for dysphagia and jaundice palliation.
Area of Science:
- Gastroenterology
- Medical Devices
- Interventional Radiology
Context:
- Gastrointestinal and biliary strictures impede normal function.
- Self-expanding metal stents offer a minimally invasive treatment option.
Purpose:
- To evaluate the efficacy and safety of self-expanding metal stents in managing gastrointestinal and biliary strictures.
- To compare metal stents with other treatment modalities, particularly plastic stents.
Summary:
- Metal stents expand significantly after deployment, providing effective palliation for strictures.
- They demonstrate fewer initial complications than plastic tubes for dysphagia palliation in esophagocardial malignancies.
- Metal stents show superior patency rates in malignant jaundice palliation, offering a favorable cost-benefit ratio.
Impact:
- Metal stents are a valuable tool for palliative care in malignant gastrointestinal and biliary strictures.
- Further research is needed to minimize long-term complications and enhance stent effectiveness.
- This technology improves patient outcomes and quality of life in specific oncological and benign conditions.