ANALYSIS OF THE RESULTS OF ENDOSCOPIC STENT IMPLANTATION IN MALIGNANT EXTRINSIC ESOPHAGEAL СOMPRESSIONS AND ESOPHAGEAL ANASTOMOSES

Background. Malignant dysphagia caused by the extrinsic compression of the esophagus and esophageal anastomoses is a rare complication of malignant neoplasms. Studies on the safety and efficacy of esophageal stenting for extra-organ esophageal compression have contradictory results. The aim of the s...

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Main Authors: A. I. Ivanov, V. A. Popov, M. V. Burmistrov
Format: Article
Language:Russian
Published: Russian Academy of Sciences, Tomsk National Research Medical Center 2021-05-01
Series:Сибирский онкологический журнал
Subjects:
Online Access:https://www.siboncoj.ru/jour/article/view/1761
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author A. I. Ivanov
V. A. Popov
M. V. Burmistrov
author_facet A. I. Ivanov
V. A. Popov
M. V. Burmistrov
author_sort A. I. Ivanov
collection DOAJ
description Background. Malignant dysphagia caused by the extrinsic compression of the esophagus and esophageal anastomoses is a rare complication of malignant neoplasms. Studies on the safety and efficacy of esophageal stenting for extra-organ esophageal compression have contradictory results. The aim of the study was to analyze the life expectancy and complications after stenting in patients with malignant extra-organ compression of the esophagus and esophageal anastomoses. Material and Methods. From 2011 to 2019, 19 patients with extrinsic compression of the esophagus and esophageal anastomoses caused by malignant neoplasms underwent ultrasound-guided implantation of self-expandable metallic stents. Results. No complications were observed during stent implantation procedure. The mean dysphagia score decreased by 1.9 points. Short-and long-term complications, such as stent migration, profuse esophageal bleeding with lethal outcome, dysphagia relapse, tracheo-esophageal fistula, pronounced and granulation growth causing recurrent dysphagia, were observed in 5 patients. The median survival time was 55.9 days. Conclusion. placement of metal stents in patients with malignant dysphagia due to extrinsic esophageal compression was shown to be safe and effective in relieving the symptoms of dysphagia.
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spelling doaj.art-ec1cf1cda2e44bf6a3070bd017dc78162023-03-13T09:05:54ZrusRussian Academy of Sciences, Tomsk National Research Medical CenterСибирский онкологический журнал1814-48612312-31682021-05-012029310110.21294/1814-4861-2021-20-2-93-101849ANALYSIS OF THE RESULTS OF ENDOSCOPIC STENT IMPLANTATION IN MALIGNANT EXTRINSIC ESOPHAGEAL СOMPRESSIONS AND ESOPHAGEAL ANASTOMOSESA. I. Ivanov0V. A. Popov1M. V. Burmistrov2ГАУЗ «Республиканский клинический онкологический диспансер Минздрава Республики Татарстан»; ФГАОУ ВО «Институт фундаментальной медицины и биологии Казанского федерального университета»; Казанская государственная медицинская академия – филиал ФГБОУ ДПО РМАНПОГАУЗ «Республиканская клиническая больница Минздрава Республики Татарстан»ФГАОУ ВО «Институт фундаментальной медицины и биологии Казанского федерального университета»; Казанская государственная медицинская академия – филиал ФГБОУ ДПО РМАНПО; ГАУЗ «Республиканская клиническая больница Минздрава Республики Татарстан»Background. Malignant dysphagia caused by the extrinsic compression of the esophagus and esophageal anastomoses is a rare complication of malignant neoplasms. Studies on the safety and efficacy of esophageal stenting for extra-organ esophageal compression have contradictory results. The aim of the study was to analyze the life expectancy and complications after stenting in patients with malignant extra-organ compression of the esophagus and esophageal anastomoses. Material and Methods. From 2011 to 2019, 19 patients with extrinsic compression of the esophagus and esophageal anastomoses caused by malignant neoplasms underwent ultrasound-guided implantation of self-expandable metallic stents. Results. No complications were observed during stent implantation procedure. The mean dysphagia score decreased by 1.9 points. Short-and long-term complications, such as stent migration, profuse esophageal bleeding with lethal outcome, dysphagia relapse, tracheo-esophageal fistula, pronounced and granulation growth causing recurrent dysphagia, were observed in 5 patients. The median survival time was 55.9 days. Conclusion. placement of metal stents in patients with malignant dysphagia due to extrinsic esophageal compression was shown to be safe and effective in relieving the symptoms of dysphagia.https://www.siboncoj.ru/jour/article/view/1761сдавление извне пищеводаэндоскопическое стентированиесаморасправляющиеся металлические стентыдисфагияпищеводный анастомозпродолжительность жизниосложнения стентирования
spellingShingle A. I. Ivanov
V. A. Popov
M. V. Burmistrov
ANALYSIS OF THE RESULTS OF ENDOSCOPIC STENT IMPLANTATION IN MALIGNANT EXTRINSIC ESOPHAGEAL СOMPRESSIONS AND ESOPHAGEAL ANASTOMOSES
Сибирский онкологический журнал
сдавление извне пищевода
эндоскопическое стентирование
саморасправляющиеся металлические стенты
дисфагия
пищеводный анастомоз
продолжительность жизни
осложнения стентирования
title ANALYSIS OF THE RESULTS OF ENDOSCOPIC STENT IMPLANTATION IN MALIGNANT EXTRINSIC ESOPHAGEAL СOMPRESSIONS AND ESOPHAGEAL ANASTOMOSES
title_full ANALYSIS OF THE RESULTS OF ENDOSCOPIC STENT IMPLANTATION IN MALIGNANT EXTRINSIC ESOPHAGEAL СOMPRESSIONS AND ESOPHAGEAL ANASTOMOSES
title_fullStr ANALYSIS OF THE RESULTS OF ENDOSCOPIC STENT IMPLANTATION IN MALIGNANT EXTRINSIC ESOPHAGEAL СOMPRESSIONS AND ESOPHAGEAL ANASTOMOSES
title_full_unstemmed ANALYSIS OF THE RESULTS OF ENDOSCOPIC STENT IMPLANTATION IN MALIGNANT EXTRINSIC ESOPHAGEAL СOMPRESSIONS AND ESOPHAGEAL ANASTOMOSES
title_short ANALYSIS OF THE RESULTS OF ENDOSCOPIC STENT IMPLANTATION IN MALIGNANT EXTRINSIC ESOPHAGEAL СOMPRESSIONS AND ESOPHAGEAL ANASTOMOSES
title_sort analysis of the results of endoscopic stent implantation in malignant extrinsic esophageal сompressions and esophageal anastomoses
topic сдавление извне пищевода
эндоскопическое стентирование
саморасправляющиеся металлические стенты
дисфагия
пищеводный анастомоз
продолжительность жизни
осложнения стентирования
url https://www.siboncoj.ru/jour/article/view/1761
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AT vapopov analysisoftheresultsofendoscopicstentimplantationinmalignantextrinsicesophagealsompressionsandesophagealanastomoses
AT mvburmistrov analysisoftheresultsofendoscopicstentimplantationinmalignantextrinsicesophagealsompressionsandesophagealanastomoses