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Palliative stenting of the digestive tract: a case series of a single centre.
MedLine Citation:
PMID:  23450097     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
BACKGROUND AND AIM: Obstruction of the gastrointestinal tract due to cancer can be treated with stenting. The aim was to review the local experience with endoscopic stenting. All patients treated with stenting in a ten years period from 2001-2010 were studied.
RESULTS: Fifty one patients received 57 stents because of oesophageal cancer. Mean survival after stent placement was 141 days. No case of perforation occurred. In nine cases (17%) clogging with food occurred. Tumour overgrowth was noted in four cases. Twenty four patients received 28 stents in their colon or rectum. The stents were placed in the rectum (n=6), the sigmoid (n=14), the descending colon (n=1), and the transverse colon (n=3). Mean survival was 276 days. Perforation did not occur. Tumour ingrowth was seen in two patients. One patient received a second stent. Dislocation occurred in two cases. There were two cases of clogging (8%) by stool. Fourteen patients received a total of 18 stents because of obstructing stomach cancer. Mean survival after placement was 121 days. There was no perforation, one case of clogging, and four cases of tumour ingrowth. Eight patients had stent placement in their duodenum. Mean survival after stent placement was 84 days. No perforation or clogging occurred. But three cases of tumour ingrowth were seen.
CONCLUSIONS: The present series shows that placement of expandable stents in the digestive tract in normal daily practice is feasible, safe, with a low number of complications, and provides good palliation for their remaining life.
Authors:
Ruud J L F Loffeld; Pascale E P Dekkers
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of gastrointestinal oncology     Volume:  4     ISSN:  2078-6891     ISO Abbreviation:  J Gastrointest Oncol     Publication Date:  2013 Mar 
Date Detail:
Created Date:  2013-03-01     Completed Date:  2013-03-04     Revised Date:  2013-04-16    
Medline Journal Info:
Nlm Unique ID:  101557751     Medline TA:  J Gastrointest Oncol     Country:  China    
Other Details:
Languages:  eng     Pagination:  14-9     Citation Subset:  -    
Affiliation:
Department of Internal Medicine and Gastroenterology, Zaans Medical Centre Zaandam, The Netherlands.
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