Bayraktar Onur, Bayraktar Baris, Atasoy Deniz, Erenler Ilknur, Ozdemir Ibrahim A, Boluk Salih, Bayraktar Ozge U, Bayraktar Aise, Tortum Osman B, Yigitbasi Rafet
Department of General Surgery, TDV 29 Mayis Hospital, Istanbul, Turkey.
Surg Laparosc Endosc Percutan Tech. 2013 Apr;23(2):e41-4. doi: 10.1097/SLE.0b013e318275b35f.
To present the authors' preliminary experience with covered self-expandable metallic stents in the palliation of malignant cervical esophageal strictures.
Covered self-expandable metallic stents were placed into the cervical esophagus of 6 patients with malignant cervical esophageal strictures under fluoroscopic guidance.
Stent placement was technically successful in all patients, and the mean dysphagia score decreased from 3.3 to 0.5 according to the Ogilvie Dysphagia Scoring. Two patients complained of chest pain, which lasted for 24 to 48 hours. Foreign body sensation disappeared spontaneously within a week in all patients, but one. Migration, dysphagia, or obstruction was not observed in any of the patients during the follow-up period (47 d to 8 mo).
According to our limited number of cases, placement of covered self-expandable metallic stents into the cervical esophagus can be performed safely, and significant improvement of dysphagia scores and life quality of patients can be obtained instantly after the procedure.
介绍作者使用覆膜自膨式金属支架治疗恶性颈段食管狭窄的初步经验。
在透视引导下，为6例恶性颈段食管狭窄患者的颈段食管置入覆膜自膨式金属支架。
所有患者的支架置入技术均获成功，根据奥格尔维吞咽评分，平均吞咽困难评分从3.3降至0.5。2例患者出现胸痛，持续24至48小时。除1例患者外，所有患者的异物感在1周内自行消失。随访期间（47天至8个月），未观察到任何患者出现支架移位、吞咽困难或梗阻。
根据我们有限的病例数，颈段食管置入覆膜自膨式金属支架操作安全，术后可立即显著改善患者的吞咽困难评分和生活质量。
