| A prospective trial of a new self-expanding plastic stent for malignant esophageal obstruction. | |
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MedLine Citation:
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PMID: 11374667 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: We studied a new expandable plastic stent in the palliation of malignant esophageal obstruction. METHODS: Eight patients with malignant esophageal obstruction and dysphagia were studied. An expandable covered plastic stent made of polyester netting and covered with a silicone membrane was inserted and released into the stenosis. Relief of dysphagia and functional status were measured. RESULTS: The stent was successfully inserted in all eight patients. The median dysphagia score dropped from 3 (able to eat liquids only) to 1 (some dysphagia with solid food), and seven of the eight patients had an improvement of at least two grades of dysphagia. Mean survival was 87 days (range 17-226). Stent migration occurred in one patient after 50 days; stent occlusion due to tumor ingrowth was not seen. CONCLUSIONS: A low cost (approximately $400) expandable plastic stent has been developed that is safe and effective in the palliation of malignant esophageal obstruction. Large randomized trials comparing this stent to expandable metal stents are warranted. |
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Authors:
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N Bethge; N Vakil |
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Publication Detail:
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Type: Clinical Trial; Journal Article |
Journal Detail:
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Title: The American journal of gastroenterology Volume: 96 ISSN: 0002-9270 ISO Abbreviation: Am. J. Gastroenterol. Publication Date: 2001 May |
Date Detail:
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Created Date: 2001-05-25 Completed Date: 2001-06-28 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0421030 Medline TA: Am J Gastroenterol Country: United States |
Other Details:
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Languages: eng Pagination: 1350-4 Citation Subset: IM |
Affiliation:
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Krankenhaus Neukölln, Berlin, Germany. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aged Constriction, Pathologic Deglutition Disorders / etiology Equipment Design Esophageal Diseases / complications, etiology*, radiography, therapy* Esophageal Neoplasms / complications* Esophagoscopy Female Foreign-Body Migration / etiology Humans Male Plastics Prospective Studies Stents* / adverse effects Survival Analysis |
| Chemical | |
Reg. No./Substance:
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0/Plastics |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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