Oesophageal stents for the management of malignant strictures and fistulae

被引:1
作者
Cowling, M [1 ]
机构
[1] Guys Hosp, Dept Radiol, London SE1 9RT, England
关键词
oesophagus; neoplasms; stenosis or obstruction; therapeutic radiology; stents; prostheses;
D O I
10.3109/13645709909153157
中图分类号
R61 [外科手术学];
学科分类号
摘要
Self-expanding metallic stents provide excellent palliation of inoperable malignant dysphagia with minimal morbidity; in many centres they now represent the treatment of choice. Covered stents represent the only reliable option in the management of malignant fistulae and are highly successful in this situation. Placement of stents at the oesophago-gastric junction remains problematic. Covered stents placed at this site have a high migration rate and uncovered stents have a relatively high incidence of tumour ingrowth. New developments, such as the Flamingo stent, may prove helpful in this area.
引用
收藏
页码:185 / 189
页数:5
相关论文
共 20 条
[1]   A new design of the esophageal Wallstent endoprosthesis resistant to distal migration [J].
Adam, A ;
Morgan, R ;
Ellul, J ;
Mason, RC .
AMERICAN JOURNAL OF ROENTGENOLOGY, 1998, 170 (06) :1477-1481
[2]   Palliation of inoperable esophageal carcinoma: A prospective randomized trial of laser therapy and stent placement [J].
Adam, A ;
Ellul, J ;
Watkinson, AF ;
Tan, BS ;
Morgan, RA ;
Saunders, MP ;
Mason, RC .
RADIOLOGY, 1997, 202 (02) :344-348
[3]  
Cowling MG, 1998, BRIT J SURG, V85, P264
[4]   MALIGNANT ESOPHAGEAL STRICTURES - TREATMENT WITH A SELF-EXPANDING NITINOL STENT [J].
CWIKIEL, W ;
STRIDBECK, H ;
TRANBERG, KG ;
VONHOLSTEIN, CS ;
HAMBRAEUS, G ;
LILLOGIL, R ;
WILLEN, R .
RADIOLOGY, 1993, 187 (03) :661-665
[6]   ESOPHAGEAL SQUAMOUS-CELL CARCINOMA .2. A CRITICAL-REVIEW OF RADIOTHERAPY [J].
EARLAM, R ;
CUNHAMELO, JR .
BRITISH JOURNAL OF SURGERY, 1980, 67 (07) :457-461
[7]   ESOPHAGEAL SQUAMOUS-CELL CARCINOMA .1. A CRITICAL-REVIEW OF SURGERY [J].
EARLAM, R ;
CUNHAMELO, JR .
BRITISH JOURNAL OF SURGERY, 1980, 67 (06) :381-390
[8]   ENDOSCOPIC INSERTION OF 248 PROSTHESES IN INOPERABLE CARCINOMA OF THE ESOPHAGUS AND CARDIA - SHORT-TERM AND LONG-TERM RESULTS [J].
GASPARRI, G ;
CASALEGNO, PA ;
CAMANDONA, M ;
POLI, MD ;
SALIZZONI, M ;
FERRAROTTI, G ;
BERTERO, D .
GASTROINTESTINAL ENDOSCOPY, 1987, 33 (05) :354-356
[9]   INTRACAVITARY RADIATION IN THE TREATMENT OF ADVANCED ESOPHAGEAL-CARCINOMA - A COMPARISON OF HIGH-DOSE RATE VS LOW-DOSE RATE BRACHYTHERAPY [J].
HARVEY, JC ;
FLEISCHMAN, EH ;
BELLOTTI, JE ;
KAGAN, AR .
JOURNAL OF SURGICAL ONCOLOGY, 1993, 52 (02) :101-104
[10]   COMBINED CHEMOTHERAPY AND RADIOTHERAPY COMPARED WITH RADIOTHERAPY ALONE IN PATIENTS WITH CANCER OF THE ESOPHAGUS [J].
HERSKOVIC, A ;
MARTZ, K ;
ALSARRAF, M ;
LEICHMAN, L ;
BRINDLE, J ;
VAITKEVICIUS, V ;
COOPER, J ;
BYHARDT, R ;
DAVIS, L ;
EMAMI, B .
NEW ENGLAND JOURNAL OF MEDICINE, 1992, 326 (24) :1593-1598