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Self-expandable metal stents for malignant esophageal obstruction: a comparative study between extrinsic and intrinsic compression.

Authors
 K. Rhee  ;  J.-H. Kim  ;  D. H. Jung  ;  J. W. Han  ;  Y. C. Lee  ;  S. K. Lee  ;  S. K. Shin  ;  J. C. Park  ;  H. S. Chung  ;  J. J. Park ,  ;  Y. H. Youn  ;  H. Park 
Citation
 DISEASES OF THE ESOPHAGUS, Vol.29(3) : 224-228, 2016 
Journal Title
 DISEASES OF THE ESOPHAGUS 
ISSN
 1120-8694 
Issue Date
2016
MeSH
Aged ; Aged, 80 and over ; Esophageal Neoplasms/complications ; Esophageal Neoplasms/surgery* ; Esophageal Stenosis/etiology ; Esophageal Stenosis/surgery* ; Esophagoscopy/instrumentation* ; Female ; Humans ; Male ; Middle Aged ; Pressure* ; Retrospective Studies ; Self Expandable Metallic Stents* ; Treatment Outcome
Keywords
esophagus ; extrinsic ; malignant ; obstruction ; stent
Abstract
Self-expandable metal stents (SEMSs) are effective for malignant esophageal obstruction, but usefulness of SEMSs in extrinsic lesions is yet to be elucidated. This study is aimed at evaluating the clinical usefulness of SEMSs in the extrinsic compression compared with intrinsic. A retrospective review was conducted for 105 patients (intrinsic, 85; extrinsic, 20) with malignant esophageal obstruction who underwent endoscopic SEMSs placement. Technical and clinical success rates were evaluated and clinical outcomes were compared between extrinsic and intrinsic group. Extrinsic group was mostly pulmonary origin. Overall technical and clinical success rate was 100% and 91%, respectively, without immediate complications. Extrinsic and intrinsic group did not differ significantly in clinical success rate. The median stent patency time was 131.3 ± 85.8 days in intrinsic group while that of extrinsic was 54.6 ± 45.1 due to shorter survival after stent insertion. The 4-, 8-, and 12-week patency rates were 90.5%, 78.8%, and 64.9% respectively in intrinsic group, while stents of extrinsic group remained patent until death. Uncovered, fully covered, and double-layered stent were used evenly and the types did not influence patency in both groups. In conclusion, esophageal SEMSs can safely and effectively be used for malignant extrinsic compression as well as intrinsic.
Full Text
http://onlinelibrary.wiley.com/doi/10.1111/dote.12325/abstract
DOI
10.1111/dote.12325
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Jie-Hyun(김지현) ORCID logo https://orcid.org/0000-0002-9198-3326
Park, Jae Jun(박재준)
Park, Jun Chul(박준철) ORCID logo https://orcid.org/0000-0001-8018-0010
Park, Hyo Jin(박효진) ORCID logo https://orcid.org/0000-0003-4814-8330
Shin, Sung Kwan(신성관) ORCID logo https://orcid.org/0000-0001-5466-1400
Youn, Young Hoon(윤영훈) ORCID logo https://orcid.org/0000-0002-0071-229X
Rhee, Kwang Won(이광원)
Lee, Sang Kil(이상길) ORCID logo https://orcid.org/0000-0002-0721-0364
Lee, Yong Chan(이용찬) ORCID logo https://orcid.org/0000-0001-8800-6906
Jung, Da Hyun(정다현)
Chung, Hyun Soo(정현수)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/146779
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