Document Detail


Radiographic appearances of esophageal stents.
MedLine Citation:
PMID:  9308109     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Among patients with esophageal carcinoma and associated dysphagia, more than 60% have unresectable disease at presentation. In such cases, the goal of treatment is primarily palliation of the dysphagia; treatment options include surgery, radiation therapy, laser ablation, and placement of stents. Beginning with the first stent-made of boxwood and silver in 1885-evolution in design led to the creation of large-diameter, rigid plastic stents placed at laparotomy and eventually placed by means of endoscopy. However, complications such as perforation, hemorrhage, dislodgment, pressure necrosis, and occlusion were frequently encountered with these stents. The development of small-diameter, expandable metal stents eliminated some of these complications. Metal stents have greatly reduced procedure-related morbidity and mortality, but complications such as perforation, malposition, migration, tumor ingrowth and overgrowth, food obstruction, and tracheoesophageal fistula persist. An efficacious and increasingly used method of treating malignant dysphagia, esophageal stent placement must undergo further improvements to reduce the frequency of complications, particularly migration and tumor ingrowth.
Authors:
M J Gollub; H Gerdes; M S Bains
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Radiographics : a review publication of the Radiological Society of North America, Inc     Volume:  17     ISSN:  0271-5333     ISO Abbreviation:  Radiographics     Publication Date:    1997 Sep-Oct
Date Detail:
Created Date:  1997-10-30     Completed Date:  1997-10-30     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8302501     Medline TA:  Radiographics     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1169-82     Citation Subset:  IM    
Affiliation:
Department of Radiology, Memorial Sloan-Kettering Cancer Center, New York, NY 10021, USA.
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MeSH Terms
Descriptor/Qualifier:
Deglutition Disorders / etiology,  therapy
Equipment Design
Equipment Failure
Esophageal Neoplasms / complications
Esophagus / injuries,  radiography*
Foreign-Body Migration / radiography
Humans
Metals
Palliative Care
Plastics
Stents* / adverse effects,  contraindications
Tracheoesophageal Fistula / etiology,  therapy
Chemical
Reg. No./Substance:
0/Metals; 0/Plastics

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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