open access

Vol 13, No 1 (2011)
Published online: 2011-10-19
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Assessment regarding quality of life, survival time and complications after esophageal stent implantation in patients with inoperable tumour of the esophagus or the cardia

Przemysław Nowakowski, Tomasz Orawczyk, Damian Ziaja, Paweł Ćwik, Alekasnder Czajka, Krzysztof Ziaja
Chirurgia Polska 2011;13(1):11-19.

open access

Vol 13, No 1 (2011)
Published online: 2011-10-19

Abstract

Background: Esophageal cancer is always a great challenge for surgical teams, both in cases of confirmed operable lesion and also when an operation is not possible to be performed. Unfortunately, despite progress in diagnostics and better accessibility to endoscopic examinations, many patients still present themselves at the moment when the lesion in the esophagus is inoperable. After confirmation that neoplasm is inoperable, most often a nutritive fistula is formed in the stomach or in the small bowel of the patient, but significantly decreases the comfort of their remaining life.
Material and methods: This analysis assesses 49 patients with esophageal cancer and a significant degree of dysphagia, who were not qualified for surgical treatment. These patients were qualified for esophageal stent implantation. Moreover, a statistical analysis of retrospective questionnaires was presented in this study. The questionnaire was sent to patients and their families to assess their quality of life.
Results: Immediately after procedure a good result was obtained, meaning an ability to feed, in 92% while the mean time of survival following the procedure was about 90 days. 6% of the patients died during the period of 30-day observation. Further observation revealed that 10% of patients needed implantation of subsequent stents.
Conclusions: Concerning the described group of patients, both the percentage of treatment success and the number of complications are comparable with other reports that confirms usefulness of described method — stent implantation as method of palliative therapy of dysphagia caused by esophageal cancer. This conclusion seems to be confirmed also by analysis of retrospective questionnaires.
Polish Surgery 2011, 13, 1, 11–19

Abstract

Background: Esophageal cancer is always a great challenge for surgical teams, both in cases of confirmed operable lesion and also when an operation is not possible to be performed. Unfortunately, despite progress in diagnostics and better accessibility to endoscopic examinations, many patients still present themselves at the moment when the lesion in the esophagus is inoperable. After confirmation that neoplasm is inoperable, most often a nutritive fistula is formed in the stomach or in the small bowel of the patient, but significantly decreases the comfort of their remaining life.
Material and methods: This analysis assesses 49 patients with esophageal cancer and a significant degree of dysphagia, who were not qualified for surgical treatment. These patients were qualified for esophageal stent implantation. Moreover, a statistical analysis of retrospective questionnaires was presented in this study. The questionnaire was sent to patients and their families to assess their quality of life.
Results: Immediately after procedure a good result was obtained, meaning an ability to feed, in 92% while the mean time of survival following the procedure was about 90 days. 6% of the patients died during the period of 30-day observation. Further observation revealed that 10% of patients needed implantation of subsequent stents.
Conclusions: Concerning the described group of patients, both the percentage of treatment success and the number of complications are comparable with other reports that confirms usefulness of described method — stent implantation as method of palliative therapy of dysphagia caused by esophageal cancer. This conclusion seems to be confirmed also by analysis of retrospective questionnaires.
Polish Surgery 2011, 13, 1, 11–19
Get Citation

Keywords

quality of life; oesophageal cancer; oesophageal stent

About this article
Title

Assessment regarding quality of life, survival time and complications after esophageal stent implantation in patients with inoperable tumour of the esophagus or the cardia

Journal

Chirurgia Polska (Polish Surgery)

Issue

Vol 13, No 1 (2011)

Pages

11-19

Published online

2011-10-19

Bibliographic record

Chirurgia Polska 2011;13(1):11-19.

Keywords

quality of life
oesophageal cancer
oesophageal stent

Authors

Przemysław Nowakowski
Tomasz Orawczyk
Damian Ziaja
Paweł Ćwik
Alekasnder Czajka
Krzysztof Ziaja

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