Dua Kulwinder S
Division of Gastroenterology and Hepatology, Medical College of Wisconsin, Froedtert Memorial Hospital, 9200, West Wisconsin Avenue, Milwaukee, WI, 53226, USA.
Dysphagia. 2017 Feb;32(1):39-49. doi: 10.1007/s00455-017-9781-7. Epub 2017 Jan 18.
The art and science of using stents to treat dysphagia and seal fistula, leaks and perforations has been evolving. Lessons learnt from the deficiencies of previous models led to several improvements making stent deployment easier, and with some designs, it was also possible to remove the stents if needed. With these improvements, besides malignant dysphagia, newer indications for using stents emerged. Unfortunately, despite several decades of evolution, as yet, there is no perfect stent that "fits all." This article is an overview of how this evolution process happened and where we are currently with using stents to manage patients with dysphagia and with other esophageal disorders.
使用支架治疗吞咽困难以及封闭瘘管、渗漏和穿孔的技术与科学一直在不断发展。从先前模型的不足中吸取的经验教训带来了多项改进,使支架置入更加容易,而且对于一些设计而言,如有需要还可以取出支架。随着这些改进,除了恶性吞咽困难之外,使用支架的新适应症也出现了。不幸的是,尽管经过了几十年的发展,但目前仍没有一种完美的、适用于所有情况的支架。本文概述了这一发展过程是如何发生的,以及我们目前在使用支架治疗吞咽困难和其他食管疾病患者方面的情况。