[Implantation of a Gianturco-S prosthesis in malignant esophagogastric stenosis]

An 80-year-old male patient with cardia adenocarcinoma underwent a surgical resection, but the local recurrence caused stenosis at the esophagogastro-anastomosis. The surgeon did not recommend the reoperation of the aged patient. After a repeated dilation a polyethylene coated flexible metallic prosthesis equipped with a double funnel was implanted. In a couple of days the prosthesis dilated to 16 mm in diameter. The patient reported waning tensive pain in the cardial region for a week after the implantation. After 4 months, now he is symptom free. The new instrument extends the possibilities of a palliative treatment.