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Published on: April 17, 2020
Experience with stent implantation in malignant esophageal strictures: analysis of 1185 consecutive cases
Akos Balazs1, Peter Kokas, Peter Lukovich
11st Department of Surgery, Semmelweis University Budapest, Budapest, Hungary. a.balazsdr@gmail.com
Purpose:
The aim of this retrospective study was to analyze the experience in endoprosthesis implantation in cases of malignant esophageal strictures.
Methods:
A total of 1185 consecutive patients underwent endoprosthesis implantation: through open surgery in 42 cases and by endoscopy in 1143 cases.
Results:
Stent implantation was performed successfully in 61.2% of cases. Dysphagia was resolved temporarily in 6.2% and permanently in 93.5% of cases. The score of dysphagia decreased from 1.93 to 0.38. Complications were detected in 23.7% of patients, and 69.2% of cases were treated by endoscopy. Wound complications were seen in 21.9% of patients intubated through surgery. The mean survival time of patients with esophageal intubation was 5.4 months and that of patients not eligible for stent implantation was 3.3 months.
Conclusions:
Stent implantation improves the quality of life and gives an opportunity for adjuvant oncological therapy. Evaluation of morphologic anomalies is of considerable importance for achieving success in treatment through implantation.
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