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Endoscopic stent placement for cancer of the lower esophagus and gastric cardia

Authors
Journal
Gastrointestinal Endoscopy
0016-5107
Publisher
Elsevier
Publication Date
Volume
40
Issue
4
Identifiers
DOI: 10.1016/s0016-5107(94)70209-8
Disciplines
  • Medicine

Abstract

Abstract We reviewed our results of using stents for palliation of cancer of the lower third of the esophagus and gastric cardia. During a 14-year period, 76 patients with either lower third esophageal cancer ( n = 43) or cancer of the gastric cardia ( n = 33) received stents for palliation of malignant dysphagia. Successful endoscopic placement was initially achieved in all patients, with 71 patients available for follow-up. Of these, 40 (56%) were subsequently able to eat solid or semi-solid food, 25 (35%) could swallow only liquids, and 6 (8%) were unimproved. The combined early and late complication rate totalled 22%. Early complications included perforation ( n = 3) and stent migration ( n = 4); late complications consisted of dislodgment ( n = 6), obstruction by tumor ( n = 2), and severe esophagitis ( n = 1). There were no procedure-related deaths, but survival at 1 year was estimated to be only 1.5%, with a median survival of 2.5 months after stent insertion. The endoscopic placement of prosthetic stents for cancer of the distal esophagus and gastric cardia entails a higher complication rate, less successful palliation, and shorter survival time compared to similar treatment for more proximal esophageal cancer. (Gastrointest Endosc 1994;40:455-7)

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