Self-expanding metallic coil stents for palliation of esophageal carcinoma: two cases of decisive stent dysfunction.

Abstract:

:Two cases of different dysfunctions of self-expanding nickel-titanium coil stents are described here. In the first case, a metallic coil stent was placed in a 8-cm circular rigid stenosis of the mid-esophagus caused by a squamous-cell carcinoma (T3 N1 M1), and seven weeks later, the stent lumen was completely occluded by massive tumor ingrowth through inadequtely adapted single coil wires. In the second case, the caudal and cranial ends of the stent became increasingly invaginated after initially adequate stent expansion, resulting in a shortening of the stent to about two-thirds of its intended size, with subsequent complete luminal obstruction at both ends of the stent due to tumor overgrowth. These two examples of different stent dysfunction correspond to similar observations by other investigators. Further investigations in a large series of stent insertions have to be performed before general conclusion can be drawn as to the clinical efficacy of metallic coil stents for endoscopic palliation of esophageal carcinoma.

journal_name

Endoscopy

journal_title

Endoscopy

authors

Löser C,Fölsch UR

doi

10.1055/s-2007-1005533

subject

Has Abstract

pub_date

1996-08-01 00:00:00

pages

514-7

issue

6

eissn

0013-726X

issn

1438-8812

journal_volume

28

pub_type

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