ENDOSCOPIC TUBE IMPLANTATION FOR THE PALLIATION OF MALIGNANT ESOPHAGEAL STENOSIS

被引:68
作者
FUGGER, R [1 ]
NIEDERLE, B [1 ]
JANTSCH, H [1 ]
SCHIESSEL, R [1 ]
SCHULZ, F [1 ]
机构
[1] UNIV VIENNA,SURG CLIN 1,DEPT RADIOL,A-1090 VIENNA,AUSTRIA
关键词
carcinoma of the esophagus and cardia; endoscopic endoprostheses; palliation;
D O I
10.1055/s-2007-1012811
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
One hundred endoscopic tube implantations were carried out on 95 patients with malignant esophageal stenosis. Palliative treatment was performed in 43% of cases because of the advanced stage of the tumor, and in 57% of cases because of risk factors which made resection inadvisable. Clinical mortality was 16%, with six deaths caused by technical complications (perforation, arrosion bleeding), and ten by cardiopulmonary problems. Dislodgement or obstruction of the prostheses was observed in 20% of cases, but could readily be corrected. The median survival time was two months, with 17% of the patients still alive after six months. Poor general health, advanced age and the presence of distant metastases were established as unfavorable prognostic indications with a significant influence on postoperative mortality. Functional results were good: 87% of patients were able to eat solid or pulpy food post-operatively.
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页码:101 / 104
页数:4
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