摘要
Abstract
Objective To observe Efficacy of endoscopic esophageal stentings for malignant esophageal stenosis and esophageal fistula. Methods 57 patients were recruited in our study from Nov. 2008 to Oct. 2010, the strictures were caused by advanced esophagealcarcinoma ( n = 42), post radiotherapy strictures ( n = 5 ). Esophagobronchial fistula (n =4) ,post operative anastomotic strictures (n =4) ,as well as 2 patients with post operative anastomotic fistula. The stents were implanted through mouth under X-ray fluoroscopic guidance. Results All stents were successfully implanted in 57 patients without procedure-related severe complications, except DDC occurred in 1 patients, the dysphagia score improved, and life quality improved significantly in all the patients. Patients were followed up for 24 moriths, of which 34 patients died of widespread carcinoma, Recurrent stenosis occurred in 18 patients, Esophageal-tracheal fistula was causod by the stent in 2 patients. Conclusion The esophaged stents implantation is an easy, safe and effective procedure for treating dysphagia and cough caused by malignant esophageal strictures.关键词
食管肿瘤/食管镜检查/食管狭窄/气管食管瘘/支架Key words
Esophageal heoplasms/ Esophagoscopy/ Esophageal stenosis/ Tracheoesophageal fistula/ Stents分类
医药卫生
