Treatment of malignant esophageal obstruction with multiple esophageal stents

Year 2011, Volume: 19 Issue: 1, - , 01.04.2011

Mustafa Yakut Kubilay Çınar Ramazan İdilman Kadir Bahar

https://doi.org/10.17940/endoskopi.74875

Abstract

The most common indication for placement of an esophageal self-expanding metal stent is palliation of malignant dysphagia in patients with tumors of the esophagus. We present a 77-year-old female with a 24-month history of inoperable cancer of the esophagus. Esophagogastroduodenoscopy was performed, which revealed a large ulcerated and obstructing mass in the 20th centimeter of the esophagus. Multiple esophageal stents were placed. A fifth selfexpanding metal endoprosthesis was placed under endoscopic guidance with the aid of fluoroscopy.

Keywords

Esophageal metal stents, multiple, esophagus cancer

Malign özofagus darlığı olgusunda multipl stent uygulaması

Abstract

Özofageal stentler en sık olarak, cerrahinin uygun olmadığı özofagus kanserli hastalarda, malign disfajinin palyasyonunda kullanılmaktadır. İnoperabl özofagus kanseri tanısı 24 aydır takip edilen 77 yaşındaki erkek hastada gastroskopide özofagusta 20. cm'de lümeni tam daraltan malign darlık izlendi. Hastaya daha önce multipl metal stent uygulaması yapılmıştı. Endoskopik olarak floroskopi yardımı ile beşinci kez metal stent yerleştirildi.

Keywords

Özofagus metal stent, multipl, özofagus kanseri

References

• Slazenger and Fortran’s. Gastrointestinal and Liver Disease. Ninth editi- on. P 745-53.
• Lambert R. An overview of the management of cancer of the esophagus. Gastrointest Endosc Clin N Am 1998; 8: 415-34.
• Lambert R. Treatment of esophagogastric tumors. Endoscopy 2003; 35: 118-26.
• Domschke W, Foerster EC, Matek W, Rödi W. Self-expanding mesh stent for esophageal cancer stenosis. Endoscopy 1990; 22: 134-6.
• Shim CS, Jung IS, Bhandari S, et al. Management of malignant strictures of the cervical esophagus with a newly designed self-expanding me- tal stent. Endoscopy 2004;36: 554-7.