Nagahama Takeshi, Maruyama Michio, Kato Kiyomi, Shinoura Hiroshi, Hasegawa Kumi, Takashima Itaru, Ebuchi Masakazu
Dept. of Surgery, Tokyo Metoropolitan Ohkubo Hospital.
Gan To Kagaku Ryoho. 2003 Oct;30(11):1750-3.
Major complications after placement of esophageal stent and airway stent were reviewed and evaluated. Four patients, including two patients with perforations and two patients with fistula formation, developed major complications after placement of a self expandable metallic stent. Two patients underwent additional radiation to improve stricture after stent placement. In one patient, stent placement was selected to improve esophageal stricture that occurred after radical radiation therapy. In one patient, migration of stent into the lesion caused a perforation. It can be concluded that additional radiation after stent placement increases the risk of complication. Stent migration also can lead to the risk of perforation.
对放置食管支架和气道支架后的主要并发症进行了回顾和评估。4例患者在放置自膨式金属支架后出现主要并发症,其中2例穿孔,2例形成瘘管。2例患者在支架置入后接受了额外的放射治疗以改善狭窄。1例患者因根治性放疗后出现食管狭窄而选择放置支架。1例患者支架移入病变部位导致穿孔。可以得出结论,支架置入后进行额外的放射治疗会增加并发症风险。支架移位也可能导致穿孔风险。