Complications after treating esophageal strictures with prostheses and stents – 20 years’ experience
Introduction : Over 80% of patients with esophageal cancer are qualified only for palliative treatment. The main goal of the therapy is to eliminate symptoms of dysphagia. Aim: To analyze complications after insertion of prostheses and stents in patients with inoperable cancer of the esophagus/c...
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| Language: | English |
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Medycyna Praktyczna
2016-12-01
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| Series: | Videosurgery and Other Miniinvasive Techniques |
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| Online Access: | https://www.termedia.pl/Complications-after-treating-esophageal-strictures-with-prostheses-and-stents-20-years-experience,42,29205,1,1.html |
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| author | Mariusz P. Łochowski Daniel Brzeziński Marek Rębowski Józef Kozak |
| author_facet | Mariusz P. Łochowski Daniel Brzeziński Marek Rębowski Józef Kozak |
| author_sort | Mariusz P. Łochowski |
| collection | DOAJ |
| description | Introduction : Over 80% of patients with esophageal cancer are qualified only for palliative treatment. The main goal of the therapy is to eliminate symptoms of dysphagia.
Aim: To analyze complications after insertion of prostheses and stents in patients with inoperable cancer of the esophagus/cardia.
Material and methods : From 1996 to 2015 prostheses of the esophagus were implanted in 1309 patients. In the strictures of the lower part of the esophagus, Barbin-Mousseau prostheses (102 cases) and Häring prostheses (324 cases) were placed. In the strictures of the upper and middle part of the esophagus, Wilson-Cook prostheses (65 cases) and Sumi prostheses (51 cases) were implanted using rigid oesophagoscopy. Since 2001, 867 esophageal stents have been implanted.
Results: Complications occurred in 146 (11%) patients, including 7 (0.6%) cases of death. The most common complication was the recurrence of swallowing disorders (74 patients). In 51 patients, tumor overgrowth over the stent/prosthesis was responsible for that symptom, and in 23 patients its clogging. A fistula (22 cases) and the passage of the prosthesis/stent (25 cases) were the second most common group of complications. Compression of the trachea, bleeding, and dehiscence of wounds occurred in a total of 18 patients. Complications were mostly treated through the repositioning of the prosthesis/stent or the insertion of an additional one.
Conclusions : The most common complications after esophageal prosthetics are the recurrence of dysphagia, a fistula and the displacement of the prosthesis/stent. The basic treatment of complications is the repositioning or insertion of an additional prosthesis. |
| format | Article |
| id | doaj-art-510d95e2bc6b46a0bf639eabbbee9a06 |
| institution | Kabale University |
| issn | 1895-4588 2299-0054 |
| language | English |
| publishDate | 2016-12-01 |
| publisher | Medycyna Praktyczna |
| record_format | Article |
| series | Videosurgery and Other Miniinvasive Techniques |
| spelling | doaj-art-510d95e2bc6b46a0bf639eabbbee9a062025-08-20T03:36:17ZengMedycyna PraktycznaVideosurgery and Other Miniinvasive Techniques1895-45882299-00542016-12-0111429529910.5114/wiitm.2016.6533529205Complications after treating esophageal strictures with prostheses and stents – 20 years’ experienceMariusz P. ŁochowskiDaniel BrzezińskiMarek RębowskiJózef KozakIntroduction : Over 80% of patients with esophageal cancer are qualified only for palliative treatment. The main goal of the therapy is to eliminate symptoms of dysphagia. Aim: To analyze complications after insertion of prostheses and stents in patients with inoperable cancer of the esophagus/cardia. Material and methods : From 1996 to 2015 prostheses of the esophagus were implanted in 1309 patients. In the strictures of the lower part of the esophagus, Barbin-Mousseau prostheses (102 cases) and Häring prostheses (324 cases) were placed. In the strictures of the upper and middle part of the esophagus, Wilson-Cook prostheses (65 cases) and Sumi prostheses (51 cases) were implanted using rigid oesophagoscopy. Since 2001, 867 esophageal stents have been implanted. Results: Complications occurred in 146 (11%) patients, including 7 (0.6%) cases of death. The most common complication was the recurrence of swallowing disorders (74 patients). In 51 patients, tumor overgrowth over the stent/prosthesis was responsible for that symptom, and in 23 patients its clogging. A fistula (22 cases) and the passage of the prosthesis/stent (25 cases) were the second most common group of complications. Compression of the trachea, bleeding, and dehiscence of wounds occurred in a total of 18 patients. Complications were mostly treated through the repositioning of the prosthesis/stent or the insertion of an additional one. Conclusions : The most common complications after esophageal prosthetics are the recurrence of dysphagia, a fistula and the displacement of the prosthesis/stent. The basic treatment of complications is the repositioning or insertion of an additional prosthesis.https://www.termedia.pl/Complications-after-treating-esophageal-strictures-with-prostheses-and-stents-20-years-experience,42,29205,1,1.html<i>complications stents prostheses esophageal stricture</i> |
| spellingShingle | Mariusz P. Łochowski Daniel Brzeziński Marek Rębowski Józef Kozak Complications after treating esophageal strictures with prostheses and stents – 20 years’ experience Videosurgery and Other Miniinvasive Techniques <i>complications stents prostheses esophageal stricture</i> |
| title | Complications after treating esophageal strictures with prostheses and stents – 20 years’ experience |
| title_full | Complications after treating esophageal strictures with prostheses and stents – 20 years’ experience |
| title_fullStr | Complications after treating esophageal strictures with prostheses and stents – 20 years’ experience |
| title_full_unstemmed | Complications after treating esophageal strictures with prostheses and stents – 20 years’ experience |
| title_short | Complications after treating esophageal strictures with prostheses and stents – 20 years’ experience |
| title_sort | complications after treating esophageal strictures with prostheses and stents 20 years experience |
| topic | <i>complications stents prostheses esophageal stricture</i> |
| url | https://www.termedia.pl/Complications-after-treating-esophageal-strictures-with-prostheses-and-stents-20-years-experience,42,29205,1,1.html |
| work_keys_str_mv | AT mariuszpłochowski complicationsaftertreatingesophagealstrictureswithprosthesesandstents20yearsexperience AT danielbrzezinski complicationsaftertreatingesophagealstrictureswithprosthesesandstents20yearsexperience AT marekrebowski complicationsaftertreatingesophagealstrictureswithprosthesesandstents20yearsexperience AT jozefkozak complicationsaftertreatingesophagealstrictureswithprosthesesandstents20yearsexperience |