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Revista Española de Enfermedades Digestivas

versión impresa ISSN 1130-0108

Resumen

RODRIGUES-PINTO, Eduardo; PEREIRA, Pedro; BARON, Todd-H.  y  MACEDO, Guilherme. Self-expandable metal stents are a valid option in long-term survivors of advanced esophageal cancer. Rev. esp. enferm. dig. [online]. 2018, vol.110, n.8, pp.500-504. ISSN 1130-0108.  http://dx.doi.org/10.17235/reed.2018.5323/2017.

Background:

self-expandable metal stents are often used for the palliative treatment of dysphagia in patients with advanced esophageal cancer and an anticipated limited survival. Due to previous reports of a high rate of adverse event when used long-term, concerns have been raised with regard to the use of self-expandable metal stents in patients with a longer survival.

Aim:

assess the role of esophageal self-expandable metal stents in patients with advanced esophageal cancer that have survived longer than six months.

Methods:

retrospective study of patients with advanced esophageal cancer with a self-expandable metal stent and a stent placement time greater than six months.

Results:

forty-two patients were followed up for 298 days. There was a clinical improvement in all patients. However, 59% of patients experienced an adverse event. The median stent patency was 236 days. Endoscopic management was attempted in all self-expandable metal related adverse events, with a clinical success rate of 100%. However, the previously treated adverse event recurred in seven patients. Multivariate analysis showed that strictures that were traversable with an ultrathin gastroscope were associated with a higher risk of adverse events (p = 0.035).

Conclusions:

long-term esophageal stenting in patients with advanced esophageal cancer is associated with a high prevalence of adverse events without an impact on mortality; most cases can be managed endoscopically.

Palabras clave : Adverse events; Esophageal cancer; Self-expandable metal stents.

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