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Published on: April 17, 2020
Self-expanding nitinol stent for malignant obstructive dysphagia - initial experience
J L Cronstedt1, M Al Fadda, I Kagevi
1Department of Medicine, Section of Gastroenterology, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia.
Annals of Saudi Medicine
|November 1, 1995
Summary
Self-expanding nitinol stents effectively palliated malignant dysphagia in 31 patients with esophageal obstruction. The treatment provided significant short-term relief, with many patients maintaining satisfactory swallowing post-procedure.
Area of Science:
- Gastroenterology
- Oncology
- Biomedical Engineering
Background:
- Malignant obstruction of the esophagus or esophagogastric junction causes severe dysphagia.
- Palliative treatment options for inoperable or unresectable cases are limited.
Purpose of the Study:
- To evaluate the efficacy and safety of self-expanding nitinol stents for palliation of malignant dysphagia.
Main Methods:
- A total of 31 patients with malignant esophageal obstruction received nitinol stents between July 1992 and December 1994.
- Pre-stenting dilatation was performed in 81% of patients.
- Stent implantation success rate and patient outcomes were assessed.
Main Results:
- Stent implantation was successful in 97% of patients (30/31).
- All stented patients experienced significant short-term relief of dysphagia.
- 73% of patients maintained satisfactory swallowing at follow-up visits (4-32 weeks).
- Minor complications occurred in two patients; one patient died post-procedure.
Conclusions:
- Self-expanding nitinol stents are a valuable option for palliating malignant dysphagia.
- The procedure demonstrated high success and provided significant relief for patients with esophageal obstruction.
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