Clinical Application of the Covered Stent Placements in the Treatment of Malignant Esophageal Stenosis
- VernacularTitle:覆膜食管支架置入治疗食管恶性狭窄的临床应用
- Author:
Qiang LI
;
Jian ZHANG
;
Haixia ZHANG
;
Kejing MA
;
Di SHEN
- Publication Type:Journal Article
- Keywords:
esophagus stenosis;
partially covered stent;
interventional radiology;
complication
- From:
Journal of Practical Radiology
1992;0(11):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the clinical efficacy of the covered stent placements in the treatment of malignant esophageal stenosis and to analyze the interrelated factors and countermeasures of complications.Methods 102 patients with malignant esophageal stenosis were undergone treatment with the covered stent placements through the mouths under X-ray fluoroscopy.The stents included China-made and imports,and the specifications were various.92 patients underwent radiotheraphy before or after process.All cases were followed up after operations.Results The successful rate of operation was 100%,110 covered stents were placed in total.The clinical symptoms of patients disappeared or abated obviously.Complications included:chest pain in 36 cases(35.3 %),restenosis in 7 cases(6.9%),stomach-esophageal countercurrent in 6 cases(5.9%),stent migration in 6 cases(5.9%),esophageal bleeding in 4 cases(3.9%),esophagus-mediastinum fistula in 1 case(1%),stent jam in 1 case(1%)and stent fell off accompanied with rupture partially in 1 case(1%).The mean survival time was 10.6 months.Conclusion The covered stent placement in the treatment of malignant esophageal stenosis is a high effective and easy method,but it is not very safe.
