Bilal Sundus, Saeed Saad Muhammad, Siddique Muhammad Zeeshan, Saqib Muhammad, Mehmood Shafqat, Yusuf Muhammed Aasim
Department of Internal Medicine, Shaukat Khanum Memorial Cancer Hospital and Research Centre, Lahore, Pakistan.
SAGE Open Med Case Rep. 2021 Feb 24;9:2050313X21997198. doi: 10.1177/2050313X21997198. eCollection 2021.
The role of self-expandable metallic stents is gradually evolving for a diverse group of benign and malignant gastrointestinal tract problems, with luminal obstruction being by far the most common. Although its role in refractory variceal bleeding is well established, it has rarely been tried for tumor-related bleeding, with only a few case reports in this regard. We share our experience of successfully controlling esophageal tumor-related bleeding with the use of a fully covered self-expandable metallic stent. A 58-year-old woman with irresectable distal esophageal cancer, presented with hematemesis. Esophago-gastro-duodenoscopy revealed an obstructing esophageal tumor with diffuse oozing of blood. This was unamenable to local injection of adrenaline and hemospray; therefore, a temporary self-expandable metallic stent was parked to create a tamponade effect. This successfully stopped bleeding and the patient remained asymptomatic till discharge. However, she was lost to follow-up, and therefore, the stent was removed after a period of 5 months instead of 2 weeks.
自膨式金属支架在多种良性和恶性胃肠道疾病中的作用正在逐渐演变，其中管腔梗阻是迄今为止最常见的情况。尽管其在难治性静脉曲张出血中的作用已得到充分确立，但在肿瘤相关出血方面很少尝试，这方面仅有少数病例报告。我们分享使用全覆膜自膨式金属支架成功控制食管肿瘤相关出血的经验。一名58岁患有无法切除的远端食管癌的女性出现呕血。食管胃十二指肠镜检查发现食管肿瘤阻塞，伴有弥漫性渗血。这无法通过局部注射肾上腺素和喷洒凝血剂来处理；因此，放置了一个临时自膨式金属支架以产生压迫效果。这成功止住了出血，患者直至出院都无症状。然而，她失访了，因此，支架在5个月而非2周后被取出。
