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Using Self-Expanding Stents to Treat Malignant Esophageal Stenosis

Using Self-Expanding Stents to Treat Malignant Esophageal Stenosis
5 June 14:06

Objective of the Review: To describe the evolution of stenting techniques used to restore esophageal patency in patients with malignant esophageal stenosis and to describe the potential of using modern stents to improve the quality of life of cancer patients who suffer from dysphagia.

Key Points: Dysphagia is a predominant abnormality in patients with esophageal neoplasms. Palliative treatment for these neoplasms used to include gastrostomy or rigid plastic stents, which were technically difficult to insert through the tumor site. This led to the development of metal self-expanding stents. Subsequently, they began to be covered partially, and later completely, in silicon or plastic. In patients with esophageal tumors, the type, length and diameter of a self-expanding stent used for palliative treatment depends on the tumor growth and extent and the degree of stenosis.

Conclusion: Using literature data and their own experience, the authors show that self-expanding stents can be effectively used both to provide palliative treatment and to prepare cancer patients for further surgery, in an appropriate manner. This is because they restore esophageal patency, help treat dysphagia, and improve quality of life.

P. L. Shcherbakov — Moscow Clinical Scientific and Practical Center at the Moscow Department of Healthcare. E-mail: pol_ochka@rambler.ru

N. A. Mammetsakhadov — International Cancer Treatment Center, Ashkhabad, Turkmenistan. E-mail: nurmurat_85@mail.ru

O. A. Shchipkov — B. V. Petrovsky Russian Research Surgical Center, Moscow. E-mail: olegs@endomedics.ru

Using Self-Expanding Stents to Treat Malignant Esophageal Stenosis
5 June 14:06
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