Nägele M, König C, Textor J, Decker P, Hamann M, Born M, Görich J, Steudel A
Radiologische Klinik, Rheinische Friedrich-Wilhelms-Universität, Bonn.
Rofo. 1994 Aug;161(2):120-5. doi: 10.1055/s-2008-1032504.
Nitinol stents were used in ten patients as palliative treatment for carcinoma of the esophagus and the cardia. Following insertion of the stent the severity of dysphagia decreased on average from 3.2 to 1.5 (on a scale from 0-4). Difficulties with stent opening and passage through the gut were found particularly in the region of metal sutures at esophago-jejunal anastomoses. One stent, which had been obstructed by mucosal folds, had to be removed and replaced. One stent which had been incorrectly placed was extended by introducing a second stent by a coaxial technique. During the period of observation, six patients died after an average of 4.6 months. The palliative effect of the stent lasted on average for eleven weeks. In two patients the tumour grew beyond the stent and in three there was tumour growth into the stent.
镍钛诺支架用于10例食管癌和贲门癌患者的姑息治疗。支架置入后,吞咽困难的严重程度平均从3.2降至1.5(0 - 4级)。特别是在食管空肠吻合口的金属缝线区域,发现支架打开和通过肠道存在困难。一个被黏膜皱襞阻塞的支架不得不被移除并更换。一个放置错误的支架通过同轴技术引入第二个支架进行了延长。在观察期间,6例患者平均在4.6个月后死亡。支架的姑息效果平均持续11周。2例患者的肿瘤生长超出支架,3例患者的肿瘤长入支架。