Meier P N, Manns M P
Abteilung Gastroenterologie, Hepatologie und Endokrinologie, Medizinische Hochschule Hannover, Carl-Neuberg-Strasse 1, 30625 Hannover.
Chirurg. 2006 Mar;77(3):203-9. doi: 10.1007/s00104-006-1166-7.
Self-expanding stents play a major role in the interdisciplinary treatment of gastrointestinal obstructions in patients with local nonresectable tumors, advanced metastasis, and pronounced comorbidity. Reinstenting the passage and sealing esophagotracheal fistulae is very effective as palliative treatment for esophageal tumor complications. In hepatobiliary occlusions, the success rate against cholestasis is also high. Enteral and colorectal stents are gaining favor. Required are an experienced endoscopy team and adequate equipment. The rate of procedural complications is generally low, but rare and severe complications such as perforation must be considered. Further improvements in the materials and construction of stents can be expected.
自膨式支架在局部不可切除肿瘤、晚期转移及严重合并症患者的胃肠道梗阻的多学科治疗中发挥着重要作用。重新开通通道并封闭食管气管瘘作为食管肿瘤并发症的姑息治疗非常有效。在肝胆梗阻中,缓解胆汁淤积的成功率也很高。肠内和结直肠支架越来越受到青睐。这需要一支经验丰富的内镜团队和足够的设备。手术并发症发生率一般较低,但必须考虑罕见且严重的并发症,如穿孔。支架的材料和结构有望进一步改进。