ID 112083
タイトル別表記
Malignant esophagogastric strictures : palliative treatment with expandable metallic stents.
悪性食道狭窄に対する金属ステント療法
著者
山田, 義生 徳島大学
北川, 学 徳島大学
キーワード
esophagus
carcinoma
metallic stent
資料タイプ
学術雑誌論文
抄録
Self-expandable metallic stents were used for palliative treatment of malignant esophagogastric strictures. Twelve patients, nine men and three women, with a mean age of 73.1 years old (range, 48-87 years old) had dysphagia due to esophagogastric strictures with advanced malignant tumors. A total of 13 expandable metallic stents were placed, four non-covered Ultraflex stents (nitinol stents), two non-covered Wallstents and seven covered Wallstents. The strictures were caused by esophageal carcinoma (n=7), gastric carcinoma with lymphnode metastasis (n=2), lung carcinoma with mediastinal lymphnode metastasis (n=2), and cardioesophageal carcinoma (n=1). All stents were placed with fluoroscopic and endoscopic guidance. No technical failure or procedural critical complications occurred and the dysphagia was relieved in all patients. The mean dysphagia score was 0.58±0.52 (standard deviation) before treatment and 3.25±0.97 after insertion. Complications included chest and epigastric pain in four, gastroesophageal reflux in two, tumor ingrowth in one, and food impaction in one. Six complications easily managed with medical, endoscopic, or radiologic intervention. At the end of this study, eight patients were dead with a mean survival of 28.3 weeks (range, 4-96 weeks), and four patients were alive with a mean follow up of 35.5 weeks (range, 8-98 weeks).
In our experience, self-expandable metallic stents provide relatively safe and long-term palliation in patients with malignant esophagogastric obstruction.
掲載誌名
四国医学雑誌
ISSN
00373699
cat書誌ID
AN00102041
出版者
徳島医学会
54
3
開始ページ
243
終了ページ
250
並び順
243
発行日
1998-06-25
フルテキストファイル
言語
jpn
著者版フラグ
出版社版
部局
医学系