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Vol 8, No 1 (2006)
Published online: 2006-03-17
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Application of self-expanding stents in treating inoperable cancers of the oesophagus and cardia

Przemysław Nowakowski, Tomasz Ludyga, Grzegorz Biolik, Wacław Kuczmik, Teresa Kowalewska-Twardela, Damian Ziaja, Robert Latała, Dariusz Stańczyk, Krzysztof Ziaja
Chirurgia Polska 2006;8(1):49-54.

open access

Vol 8, No 1 (2006)
Published online: 2006-03-17

Abstract

Background: The treatment of inoperable changes and tumors of the oesophagus and cardia is a great changes for a surgeon. How to help the patients, the medicine does not have much to offer? After the change is found to be inoperable, a nutritional fistula is usually applied in the stomach or small intestine, which significantly reduces the comfort of patient’s life. Due to the development of new medical technologies, the implantation of oesophageal stents is performed in these cases. After the patient’s qualification process, the implantation is carried out, under X-ray control. It enables normal eating in patients with severe dysphagia. Sometimes, there is a necessity of stenosis dilatation with expandable plugs or oesophageal balloons.
Material and methods: We present the outcomes of treatment of thirty seven patients, who had oesophageal stents implanted between 2002 and 2005. The indications for this procedure were: oesophagal stenosis and dysphagia in the course of inoperable tumor.
Results: During the thirty day observation after stent implantation, there were no cases of death. There was one case of stent removal. During further observation, there were several cases of occlusion with a morsel of food, and they were treated endoscopically.
Conclusions: It has to be noted, that the described treatment method can not be performed in all cases of inoperable tumors of oesophagus and cardia. Apart from medical conditions, the price of oesophageal stents can be a limitation of this procedure.

Abstract

Background: The treatment of inoperable changes and tumors of the oesophagus and cardia is a great changes for a surgeon. How to help the patients, the medicine does not have much to offer? After the change is found to be inoperable, a nutritional fistula is usually applied in the stomach or small intestine, which significantly reduces the comfort of patient’s life. Due to the development of new medical technologies, the implantation of oesophageal stents is performed in these cases. After the patient’s qualification process, the implantation is carried out, under X-ray control. It enables normal eating in patients with severe dysphagia. Sometimes, there is a necessity of stenosis dilatation with expandable plugs or oesophageal balloons.
Material and methods: We present the outcomes of treatment of thirty seven patients, who had oesophageal stents implanted between 2002 and 2005. The indications for this procedure were: oesophagal stenosis and dysphagia in the course of inoperable tumor.
Results: During the thirty day observation after stent implantation, there were no cases of death. There was one case of stent removal. During further observation, there were several cases of occlusion with a morsel of food, and they were treated endoscopically.
Conclusions: It has to be noted, that the described treatment method can not be performed in all cases of inoperable tumors of oesophagus and cardia. Apart from medical conditions, the price of oesophageal stents can be a limitation of this procedure.

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Keywords

stent; oesophageus tumor; cardia tumor; endoscopic treatment

About this article
Title

Application of self-expanding stents in treating inoperable cancers of the oesophagus and cardia

Journal

Chirurgia Polska (Polish Surgery)

Issue

Vol 8, No 1 (2006)

Pages

49-54

Published online

2006-03-17

Page views

7054

Article views/downloads

2816

Bibliographic record

Chirurgia Polska 2006;8(1):49-54.

Keywords

stent
oesophageus tumor
cardia tumor
endoscopic treatment

Authors

Przemysław Nowakowski
Tomasz Ludyga
Grzegorz Biolik
Wacław Kuczmik
Teresa Kowalewska-Twardela
Damian Ziaja
Robert Latała
Dariusz Stańczyk
Krzysztof Ziaja

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