Self-expandable metal stent for palliation of malignant dysphagia & quality of life improvement in advanced cancer esophagus: Upper Egypt experience

Mohamed Abdelshafy , Mohammed A. Omar , Mohamed Abdel Bary , Mohamed Mostafa Wahaman , Rafaat Abd elaal Bakheet
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引用次数: 9

Abstract

Background

In advanced cancer esophagus patients, self-expandable metallic stents (SEMS) are utilized to relieve malignant difficulty in swallowing and improve their quality of the life. Retrospectively, we evaluated the efficacy, feasibility, and outcomes of SEMS in palliation of malignant dysphagia in advanced cancer esophagus and its' complications.

Methods

We retrospectively reviewed data of 350 patients with malignant dysphagia due to advanced cancer esophagus from December 2012 to April 2017. They were subjected to esophageal stenting with SEMS in our GIT endoscopy unit, General and Cardiothoracic Surgery departments at Qena and Sohag University Hospitals, Egypt.

Results

The mean age was 56.34 + 12.44 years ranging from 30 to 85 years, and 264 of them were males. Mean duration of dysphagia was 2.90 months. SEMSs were placed successfully in all cases without major complications; however minor bleeding and retrosternal discomfort were seen. The improvement in the dysphagia score was significant.

Conclusions

SEMSs were safe and effective in palliation of malignant dysphagia and improvement of the quality of life in advanced esophageal cancer patients without major complications.

自膨胀金属支架缓解晚期食管癌患者恶性吞咽困难及改善生活质量:上埃及经验
背景在晚期食管癌患者中,自扩式金属支架(SEMS)被用于缓解恶性吞咽困难,提高患者的生活质量。回顾性评价SEMS在缓解晚期食管癌患者恶性吞咽困难及其并发症中的疗效、可行性和结果。方法回顾性分析2012年12月至2017年4月收治的350例晚期食管癌恶性吞咽困难患者的资料。他们在埃及Qena和Sohag大学医院的内科和心胸外科接受SEMS食管支架置入。结果30 ~ 85岁,平均年龄56.34 + 12.44岁,男性264人。吞咽困难平均持续时间为2.90个月。所有病例均成功置入sems,无重大并发症;但有少量出血和胸骨后不适。吞咽困难评分明显改善。结论sms能安全有效地缓解晚期食管癌患者的恶性吞咽困难,改善患者的生活质量,无重大并发症。
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