Self - expanding Wallstent for Palliative Treatment of Malignant Esophageal Stenosis.
- Author:
Sang In LEE
;
Young Soo KIM
;
Sung Won CHO
;
Ki Baik HAHM
;
Jin Hong KIM
;
Young Sook PARK
;
Sa Joon HONG
;
Young Soo MOON
;
Kwang Jae LEE
- Publication Type:Case Report
- Keywords:
Wallstent;
Malignant esophageal stenosis;
Esophageal endoprosthesis
- MeSH:
Aged;
Alloys;
Axis, Cervical Vertebra;
Deglutition Disorders;
Dilatation;
Esophageal Stenosis*;
Hemorrhage;
Humans;
Intubation;
Male;
Palliative Care*;
Plastics;
Stainless Steel;
Stents
- From:Korean Journal of Gastrointestinal Endoscopy
1995;15(4):704-711
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The main objective of palliative treatment of malignant esophageal stenosis is rapid restoration of passage of fluid and solids. Endoscopic intubation with plastic endoprosthesis may lead to prompt relief of dysphagia and is a effective procedure for the palliative treatment of malignant esophageal stenosis. However, the insertion procedure, which necessitates prior dilatation, is traumatic and associated with considerable risk for perforation and bleeding. Tumor overgrowth, stent migration and stent blockage are frequent complications. Recently, self expanding metal stents woven in the form of tubular mesh made from surgical grade stainless steel alloy filaments(Wallstent), have been developed to offer possible advatage over conventional plastic tubes. The small diameter of introducer system carrying the compressed stent(18Fr) allows a relatively easy insertion procedure that dose not require prior dilatation. This stent is pliable. self-expanding and flexible in the longitudinal axis. We experienced a case of a 74-year-old male with malignant esophageal stenosis in whom self-expanding Wallstent was implanted with successful oral nutrition and much improvement of dysphagia.
