Endoscopic stenting - Where are we now and where can we go?

被引:24
作者
McLoughlin, Mark Terence [1 ]
Byrne, Michael Francis [1 ]
机构
[1] Univ British Columbia, Div Gastroenterol, Vancouver, BC V5Z 1M9, Canada
关键词
endoscopy; stent; palliation; bowel obstruction; malignancy;
D O I
10.3748/wjg.14.3798
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Self expanding metal stents (SEMS) play an important role in the management of malignant obstructing lesions in the gastrointestinal tract. Traditionally, they have been used for palliation in malignant gastric outlet and colonic obstruction and esophageal malignancy. The development of the polyflex stent, which is a removable self expanding plastic stent, allows temporary stent insertion for benign esophageal disease and possibly for patients undergoing neoadjuvant chemotherapy prior to esophagectomy. Potential complications of SEMS insertion include perforation, tumour overgrowth or ingrowth, and stent migration. Newer stents are being developed with the aim of increasing technical and clinical success rates, while reducing complication rates. Other areas of development include biodegradable stents for benign disease and radioactive or drug-eluting stents for malignant disease. It is hoped that, in the future, newer stents will improve our management of these difficult conditions and, possibly, provide prognostic as well as symptomatic benefit in the setting of malignant obstruction. (C) 2008 The WJG Press. All rights reserved.
引用
收藏
页码:3798 / 3803
页数:6
相关论文
共 60 条
[1]  
[Anonymous], 1991, Endosc Dig
[2]  
Baron Todd H, 2005, Gastrointest Endosc Clin N Am, V15, P757, DOI 10.1016/j.giec.2005.08.005
[3]   Malignant gastroduodenal obstruction: Palliation with self-expanding metallic stents [J].
Bessoud, B ;
de Baere, T ;
Denys, A ;
Kuoch, V ;
Ducreux, M ;
Precetti, S ;
Roche, A ;
Menu, Y .
JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY, 2005, 16 (02) :247-253
[4]  
Bethge N, 1998, AM J GASTROENTEROL, V93, P643
[5]   Malignant colorectal obstruction: Treatment with a flexible covered stent [J].
Choo, IW ;
Do, YS ;
Suh, SW ;
Chun, H ;
Choo, SW ;
Park, HS ;
Kang, SK ;
Kim, SK .
RADIOLOGY, 1998, 206 (02) :415-421
[6]   Malignant dysphagia: Palliation with esophageal stents - Long-term results in 100 patients [J].
Cwikiel, W ;
Tranberg, KG ;
Cwikiel, M ;
Lillo-Gil, R .
RADIOLOGY, 1998, 207 (02) :513-518
[7]   MALIGNANT OBSTRUCTION OF THE LEFT COLON [J].
DEANS, GT ;
KRUKOWSKI, ZH ;
IRWIN, ST .
BRITISH JOURNAL OF SURGERY, 1994, 81 (09) :1270-1276
[8]   Self-expanding metallic stents as palliative treatment of malignant gastroduodenal stenosis [J].
deBaere, T ;
Harry, G ;
Ducreux, M ;
Elias, D ;
Briquet, R ;
Kuoch, V ;
Roche, A .
AMERICAN JOURNAL OF ROENTGENOLOGY, 1997, 169 (04) :1079-1083
[9]   Stents for palliating malignant dysphagia and fistula: is the paradigm shifting? [J].
Dua, Kulwinder S. .
GASTROINTESTINAL ENDOSCOPY, 2007, 65 (01) :77-81
[10]   Self-expanding metal stents in the palliation of malignant dysphagia: Outcome analysis in 100 consecutive patients [J].
Elphick, DA ;
Smith, BA ;
Bagshaw, J ;
Riley, SA .
DISEASES OF THE ESOPHAGUS, 2005, 18 (02) :93-95