Affordable Access

Access to the full text

Stenting the Upper/Cervical Oesophagus with a Proximal Deployment Cervical Oesophageal Stent: Technique and Outcomes

Authors
  • Rabone, Amanda1
  • Kawa, Bhavin1
  • Thomson, Benedict1
  • Kemp, Sarah1
  • Elwood, Claire1
  • Okaro, Abuchi2
  • Hill, Mark3
  • Sevitt, Timothy3
  • Waters, Justin3
  • Ignotus, Paul1
  • Shaw, Aidan1
  • 1 Maidstone Hospital, Department of Interventional Radiology, Maidstone and Tunbridge Wells NHS Trust, Hermitage Lane, Maidstone, Kent, ME16 9QQ, UK , Maidstone, Kent (United Kingdom)
  • 2 Maidstone Hospital, Department of Surgery, Maidstone and Tunbridge Wells NHS Trust, Hermitage Lane, Maidstone, Kent, ME16 9QQ, UK , Maidstone, Kent (United Kingdom)
  • 3 Maidstone Hospital, Department of Oncology, Maidstone and Tunbridge Wells NHS Trust, Hermitage Lane, Maidstone, Kent, ME16 9QQ, UK , Maidstone, Kent (United Kingdom)
Type
Published Article
Journal
CardioVascular and Interventional Radiology
Publisher
Springer-Verlag
Publication Date
Mar 19, 2019
Volume
42
Issue
7
Pages
1024–1028
Identifiers
DOI: 10.1007/s00270-019-02201-0
Source
Springer Nature
Keywords
License
Yellow

Abstract

IntroductionProximal oesophageal stent deployment continues to provide challenges due to the proximity of the upper oesophageal sphincter and the associated subsequent complications such as globus sensation and stent migration. Patients with cervical oesophageal cancer have previously had limited stenting options available to them with a paucity of the literature describing the radiological technique for successfully placing these high-risk stents. In this paper, we present our experience using the Taewoong Niti-S CERVICAL Oesophageal Stent.Materials and MethodsWe describe our method for stent deployment highlighting the importance of pre-procedural planning in ensuring an adequate proximal landing zone for the short proximal flare of the stent. Furthermore, we outline how we have adapted our placement technique to incorporate a routine pre-dilatation stage which has optimised retrieval of the proximal to distal deployment system.ResultsWe have placed eight cervical oesophageal stents within our institution. Contrast swallows in all the patients following stent deployment have demonstrated free flow of contrast to the stomach with all patients reporting symptomatic relief and no foreign body/globus sensation. There has been one episode of stent migration but no incidence of oesophageal perforation or haemorrhage.DiscussionEvolution of stenting technique and the properties of the stents themselves are improving accuracy of stent placement in relation to the important landmark of the upper oesophageal sphincter.ConclusionStenting of cervical oesophageal malignancy has proved successful in our institution and provided symptom relief for a subset of palliative patients who were previously unable to benefit from oesophageal stenting.

Report this publication

Statistics

Seen <100 times