De Gregorio M A, Medrano J, Fernández J A, Sainz R, Alfonso E R, López-Marin P, Maynar M
Servicio de Radiología Vascular e Intervencionista, Hospital Clínico Universitario, Zaragoza.
Rev Esp Enferm Dig. 1994 Oct;86(4):711-6.
The treatment of malignant esophageal stenoses is a serious problem which may have a surgical solution at diagnosis in only a selected number of cases. Chemotherapy and radiotherapy are the main palliative treatments; surgery has a high morbidity and mortality rate. The insertion of esophageal prostheses could be an alternative palliative treatment. From January 1991 to November 1993, 41 autoexpandable metallic prostheses (12 Wallstent type, 19 Strecker type and 1 Rosch-Uchida type) have been implanted in 30 patients with esophageal cancer one with lung cancer and two with radiation induced esophagitis. Technical success resulted in 28 patients; an initial failure requiring a new prosthesis insertion occurred in 5 patients. Technical aspects and results are analyzed.
恶性食管狭窄的治疗是一个严重的问题，只有在少数特定病例中，诊断时才有手术解决方案。化疗和放疗是主要的姑息治疗方法；手术的发病率和死亡率很高。食管支架置入术可能是一种替代性的姑息治疗方法。1991年1月至1993年11月，41个可自膨胀金属支架（12个Wallstent型、19个Strecker型和1个Rosch-Uchida型）被植入30例食管癌患者、1例肺癌患者和2例放射性食管炎患者体内。28例患者技术成功；5例患者最初失败，需要重新置入支架。对技术方面和结果进行了分析。
