Eleftheriadis Efthimios, Kotzampassi Katerina
Department of Surgery, University of Thessaloniki Medical School, Thessaloniki, Greece.
World J Gastroenterol. 2006 Apr 7;12(13):2103-8. doi: 10.3748/wjg.v12.i13.2103.
To present our experience with endoscopic placement of an esophageal endoprosthesis in 19 patients.
A retrospective evaluation was made for the use of 19 stents positioned at the level of the cervical esophagus: 11 for malignant tumours (7 causing obstruction, 4 complicated by an esophago -tracheal or -cutaneous fistula), and 8 for an acquired benign tracheo-esophageal fistula due to prolonged intubation. The covered Ultraflex stent was used in all cases except two. These two patients had an esophagocutaneous fistula following laryngectomy and a Flamingo Wall stent was used.
Stent implantation was technically successful in all patients. Dysphagia score was improved from 3 to 2 in stenosis patients, while sealing of the fistula was achieved in all cases. The median hospital stay was 3 d for malignant tumour patients and 13.5 d for esophagocutaneous fistula patients. One Ultraflex stent and two Flamingo Wall stents were easily removed 33 d and 3 months respectively after implantation when the fistulas had totally occluded.
Endoprosthesis implantation for malignancy and/or fistula of malignant or benign origin at the level of the cervical esophagus is an easy, well tolerated, safe and effective procedure with no complications or mortality.
介绍我们对19例患者进行食管内支架置入术的经验。
对19枚置于颈段食管水平的支架的使用情况进行回顾性评估：11枚用于恶性肿瘤（7枚导致梗阻，4枚并发食管气管瘘或食管皮肤瘘），8枚用于因长期插管导致的后天性良性气管食管瘘。除2例患者外，所有病例均使用了带膜的Ultraflex支架。这2例患者为喉切除术后发生食管皮肤瘘，使用了Flamingo Wall支架。
所有患者的支架植入在技术上均获成功。狭窄患者的吞咽困难评分从3分改善至2分，所有病例的瘘口均成功封闭。恶性肿瘤患者的中位住院时间为3天，食管皮肤瘘患者为13.5天。当瘘口完全闭塞后，1枚Ultraflex支架和2枚Flamingo Wall支架分别于植入后33天和3个月轻松取出。
对于颈段食管恶性肿瘤和/或恶性或良性来源的瘘，植入内支架是一种简便、耐受性良好、安全有效的手术，无并发症或死亡发生。
