Clinical evaluation of covered esophageal stents in the treatment of esophageal stricture and esophageal fistula after radiotherapy for esophageal carcinoma
YAN Yan, WU Xiong, ZHOU Liqing, XIA Jianhong, GE Rong
Department of Radiation Oncology, Huaian Hospital Affiliated to Xuzhou Medical University, Huaian 223002, China
Abstract：Objective To evaluate the clinical effect of covered esophageal stents in the treatment of esophageal stricture or esophageal fistula after radiotherapy for esophageal carcinoma.Methods A retrospective analysis of 58 patients with esophageal stenosis and esophageal fistula after radiotherapy for esophageal cancer was performed.All the patients were placed with Z covered esophageal stents under X-ray surveillance.The efficacy and side effects of stent implantation were analyzed.Results 58 cases of esophageal stents were placed successfully. The esophageal became unobstructed, fistula became sealed and a variety of clinical symptoms were effectively and quickly alleviated. The success rate of placement and treatment efficiency were 100%.Postoperative chest pain, nausea and vomiting, mild gastrointestinal bleeding occurred in 52 cases (89.7%), 31 cases (53.4%) and 21 cases (36.2%)respectively.The first two conditions were effectively controlled after symptomatic treatment, and the last one was improved on its own.Conclusions Covered esophageal stents in the treatment of esophageal stricture and esophageal fistula after radiotherapy for esophageal cancer are simple, safe, effective and worthy of popularization.
严研, 吴雄, 周立庆, 夏建洪, 葛荣. 覆膜食管支架治疗食管癌放疗后并发食管狭窄及食管瘘的临床效果[J]. 武警医学, 2018, 29(2): 179-181.
YAN Yan, WU Xiong, ZHOU Liqing, XIA Jianhong, GE Rong. Clinical evaluation of covered esophageal stents in the treatment of esophageal stricture and esophageal fistula after radiotherapy for esophageal carcinoma. Med. J. Chin. Peop. Armed Poli. Forc., 2018, 29(2): 179-181.
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