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Titolo:
MALIGNANT ESOPHAGEAL STRICTURES - TREATMENT WITH A SELF-EXPANDING NITINOL STENT
Autore:
CWIKIEL W; STRIDBECK H; TRANBERG KG; VONHOLSTEIN CS; HAMBRAEUS G; LILLOGIL R; WILLEN R;
Indirizzi:
UNIV LUND HOSP,DEPT DIAGNOST RADIOL,GETINGEVAGEN S-22185 LUND SWEDEN UNIV LUND HOSP,DEPT SURG S-22185 LUND SWEDEN UNIV LUND HOSP,DEPT THORAC SURG S-22185 LUND SWEDEN UNIV LUND HOSP,DEPT CLIN PATHOL S-22185 LUND SWEDEN
Titolo Testata:
Radiology
fascicolo: 3, volume: 187, anno: 1993,
pagine: 661 - 665
SICI:
0033-8419(1993)187:3<661:MES-TW>2.0.ZU;2-O
Fonte:
ISI
Lingua:
ENG
Soggetto:
LASER THERAPY; PALLIATIVE TREATMENT; SURGICAL THERAPY; CARCINOMA; STENOSES; RADIOTHERAPY; INTUBATION; DYSPHAGIA; DILATION; CANCER;
Keywords:
ESOPHAGUS, GRAFTS AND PROSTHESES; ESOPHAGUS, INTERVENTIONAL PROCEDURE; ESOPHAGUS, NEOPLASMS; ESOPHAGUS, STENOSIS OR OBSTRUCTION; STENTS AND PROSTHESES;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
23
Recensione:
Indirizzi per estratti:
Citazione:
W. Cwikiel et al., "MALIGNANT ESOPHAGEAL STRICTURES - TREATMENT WITH A SELF-EXPANDING NITINOL STENT", Radiology, 187(3), 1993, pp. 661-665

Abstract

A self-expanding esophageal nitinol stent was implanted under fluoroscopic guidance in 40 patients with malignant esophageal strictures andclinically significant dysphagia. The strictures were caused by squamous cell carcinoma (n = 14), adenocarcinoma (n = 12), recurrent anastomotic carcinoma (n = 8), and mediastinal tumors (n = 6). Eight stents were balloon dilated to maximum diameter immediately after insertion. Sixteen stents self-expanded to maximum diameter within 24 hours, and the other stents expanded to maximum diameter during further observation. There were no serious stent-related complications, and the dysphagia was reduced considerably in all patients immediately after stent insertion. Persistent tumor bleeding occurred in two patients, and ingrowth of tumor into the stent was seen in eight patients. Two stents occluded due to tumor ingrowth but were successfully recanalized with endoscopic laser coagulation. At the end of the study, 28 patients were dead with a mean survival of 2.9 months (range, 0.1-7.0 months), and 12patients were alive with a mean follow-up of 8.8 months (range, 4.0-15.0 months).

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Documento generato il 10/07/20 alle ore 03:14:10