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Self-expanding stents for malignant dysphagia
W D Clements1, L R Johnston, E McIlwrath
1Department of Thoracic Surgery, Royal Victoria Hospital, Belfast City Hospital, Belfast, Northern Ireland.
Journal of the Royal Society of Medicine
|August 1, 1996
Summary
Self-expanding metallic stents effectively palliate malignant dysphagia in esophageal obstruction. This study shows Wallstent insertion improved swallowing for most patients, offering significant palliative relief.
Area of Science:
- Gastroenterology
- Oncology
- Medical Devices
Background:
- Malignant esophageal obstruction causes severe dysphagia.
- Self-expanding metallic stents are used for various strictures.
Purpose of the Study:
- To evaluate the efficacy of the 16 mm Wallstent for palliative treatment of malignant dysphagia.
Main Methods:
- Prospective study involving eight patients with advanced esophageal cancer.
- Nine 16 mm Wallstents were inserted.
Main Results:
- Dysphagia improved in seven out of eight patients.
- One patient experienced esophageal perforation, another had self-limiting hematemesis.
- Five patients required no further palliative therapy post-stenting.
Conclusions:
- The 16 mm self-expanding metal endoprosthesis provides effective palliation for malignant esophageal obstruction.
- Careful patient selection and skillful stent application are crucial for optimal outcomes.