Complications after treating esophageal strictures with prostheses and stents – 20 years’ experience

Mariusz Łochowski; Daniel Brzeziński; Marek Rębowski; Józef Kozak

doi:10.5114/wiitm.2016.65335

!!!NEW!!! CLINICAL FORUM !!!NEW!!!
to make the quarterly livelier and more beneficial for doctors and scientists !!!

On June the 1st, 2021 VSJ launches a new discussion platform in the journal.

We invite all MIS surgeons to rapidly submit for publication:
- small forms describing unusual clinical situations related to their practice,
- short clinical comments relating to any publications in VSJ, including the clinical situations described above
- brief communications of original studies deserving fast publication
- your personal opinions as part of a larger discussion on the VSJ publication
- letters concerning the topics described above

Clinical Forum gives you a means of rapid presentation of your findings in the medical databases, scientific citations on the international forum, and also an Impact Factor!

For further details, see: Instructions for Authors

eISSN: 2299-0054
ISSN: 1895-4588

Videosurgery and Other Miniinvasive Techniques

Current issue Archive Manuscripts accepted About the journal Supplements Editorial board Reviewers Subscription Contact Instructions for authors Ethical standards and procedures

Editorial System

Submit your Manuscript

Editorial Policies

Sarajevo Declaration on Integrity and Visibility of Scholarly Publications

4/2016
vol. 11

Send email

Copy url:

abstract:

Original paper

Complications after treating esophageal strictures with prostheses and stents – 20 years’ experience

Mariusz P. Łochowski

,

Daniel Brzeziński

,

Marek Rębowski

,

Józef Kozak

Videosurgery Miniinv 2016; 11 (4): 295–299

DOI: https://doi.org/10.5114/wiitm.2016.65335

Online publish date: 2016/12/29

View full text Get citation

PlumX metrics:

Introduction: Over 80% of patients with esophageal cancer are qualified only for palliative treatment. The main goal of the therapy is to eliminate symptoms of dysphagia.

Aim: To analyze complications after insertion of prostheses and stents in patients with inoperable cancer of the esophagus/cardia.

Material and methods: From 1996 to 2015 prostheses of the esophagus were implanted in 1309 patients. In the strictures of the lower part of the esophagus, Barbin-Mousseau prostheses (102 cases) and Häring prostheses (324 cases) were placed. In the strictures of the upper and middle part of the esophagus, Wilson-Cook prostheses (65 cases) and Sumi prostheses (51 cases) were implanted using rigid oesophagoscopy. Since 2001, 867 esophageal stents have been implanted.

Results: Complications occurred in 146 (11%) patients, including 7 (0.6%) cases of death. The most common complication was the recurrence of swallowing disorders (74 patients). In 51 patients, tumor overgrowth over the stent/prosthesis was responsible for that symptom, and in 23 patients its clogging. A fistula (22 cases) and the passage of the prosthesis/stent (25 cases) were the second most common group of complications. Compression of the trachea, bleeding, and dehiscence of wounds occurred in a total of 18 patients. Complications were mostly treated through the repositioning of the prosthesis/stent or the insertion of an additional one.

Conclusions: The most common complications after esophageal prosthetics are the recurrence of dysphagia, a fistula and the displacement of the prosthesis/stent. The basic treatment of complications is the repositioning or insertion of an additional prosthesis.

keywords:

Complications after treating esophageal strictures with prostheses and stents – 20 years’ experience

Mariusz P. Łochowski , Daniel Brzeziński , Marek Rębowski , Józef Kozak

complications, stents, prostheses, esophageal stricture

Mariusz P. Łochowski

,

Daniel Brzeziński

,

Marek Rębowski

,

Józef Kozak