Cargando…

Investigating Esophageal Stent-Placement Outcomes in Patients with Inoperable Non-Cervical Esophageal Cancer

Background: Esophageal stent insertion in patients with inoperable esophageal cancer is usually accompanied with relatively high adverse symptoms and even mortality. The current study aims at investigating the outcomes of esophageal stenting in patients with inoperable non-cervical esophageal cancer...

Descripción completa

Detalles Bibliográficos
Autores principales: Forootan, Mojgan, Tabatabaeefar, Morteza, Mosaffa, Nariman, Ashkalak, Hormat Rahimzadeh, Darvishi, Mohammad
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Ivyspring International Publisher 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5743730/
https://www.ncbi.nlm.nih.gov/pubmed/29290788
http://dx.doi.org/10.7150/jca.21854
_version_ 1783288619006427136
author Forootan, Mojgan
Tabatabaeefar, Morteza
Mosaffa, Nariman
Ashkalak, Hormat Rahimzadeh
Darvishi, Mohammad
author_facet Forootan, Mojgan
Tabatabaeefar, Morteza
Mosaffa, Nariman
Ashkalak, Hormat Rahimzadeh
Darvishi, Mohammad
author_sort Forootan, Mojgan
collection PubMed
description Background: Esophageal stent insertion in patients with inoperable esophageal cancer is usually accompanied with relatively high adverse symptoms and even mortality. The current study aims at investigating the outcomes of esophageal stenting in patients with inoperable non-cervical esophageal cancer. Materials and Methods: The current descriptive-analytical research evaluates 25 patients with esophageal cancer. The stent was placed in esophagus based upon endoscopy analysis with or without fluoroscopy and then the stent position and its opening was investigated by making use of CXRand Gastrografin studies. Demographic characteristics, dysphagia scores, stent placement side effects and the dysphagia-related indices were recorded and examined by taking advantage of a questionnaire which was administered pre and post stent insertion. Results: The study population was comprised of 15 women and 10 men. The individuals' average age was 69.20 ± 11.25 years. Dysphagia mean score was lowered from a value of 4.32 ± 0.80 to 2.00 ± 1.22 (P-value<0.05). The prevalent side effects were chest pain (64%), dysphagia recurrence (40%), stent blockage (20%), stent migration (16%), GI bleeding (8%), and malposition (8%). Also, it was found out that 64% of the patients survived for 6 months. Conclusion: The results indicated that although esophageal stenting is accompanied with side effects in patients with inoperable esophageal cancer, but it is the most frequently used and the most reliable method in relieving dysphagia and improving dysphagia-related life indices.
format Online
Article
Text
id pubmed-5743730
institution National Center for Biotechnology Information
language English
publishDate 2018
publisher Ivyspring International Publisher
record_format MEDLINE/PubMed
spelling pubmed-57437302018-01-01 Investigating Esophageal Stent-Placement Outcomes in Patients with Inoperable Non-Cervical Esophageal Cancer Forootan, Mojgan Tabatabaeefar, Morteza Mosaffa, Nariman Ashkalak, Hormat Rahimzadeh Darvishi, Mohammad J Cancer Research Paper Background: Esophageal stent insertion in patients with inoperable esophageal cancer is usually accompanied with relatively high adverse symptoms and even mortality. The current study aims at investigating the outcomes of esophageal stenting in patients with inoperable non-cervical esophageal cancer. Materials and Methods: The current descriptive-analytical research evaluates 25 patients with esophageal cancer. The stent was placed in esophagus based upon endoscopy analysis with or without fluoroscopy and then the stent position and its opening was investigated by making use of CXRand Gastrografin studies. Demographic characteristics, dysphagia scores, stent placement side effects and the dysphagia-related indices were recorded and examined by taking advantage of a questionnaire which was administered pre and post stent insertion. Results: The study population was comprised of 15 women and 10 men. The individuals' average age was 69.20 ± 11.25 years. Dysphagia mean score was lowered from a value of 4.32 ± 0.80 to 2.00 ± 1.22 (P-value<0.05). The prevalent side effects were chest pain (64%), dysphagia recurrence (40%), stent blockage (20%), stent migration (16%), GI bleeding (8%), and malposition (8%). Also, it was found out that 64% of the patients survived for 6 months. Conclusion: The results indicated that although esophageal stenting is accompanied with side effects in patients with inoperable esophageal cancer, but it is the most frequently used and the most reliable method in relieving dysphagia and improving dysphagia-related life indices. Ivyspring International Publisher 2018-01-01 /pmc/articles/PMC5743730/ /pubmed/29290788 http://dx.doi.org/10.7150/jca.21854 Text en © Ivyspring International Publisher This is an open access article distributed under the terms of the Creative Commons Attribution (CC BY-NC) license (https://creativecommons.org/licenses/by-nc/4.0/). See http://ivyspring.com/terms for full terms and conditions.
spellingShingle Research Paper
Forootan, Mojgan
Tabatabaeefar, Morteza
Mosaffa, Nariman
Ashkalak, Hormat Rahimzadeh
Darvishi, Mohammad
Investigating Esophageal Stent-Placement Outcomes in Patients with Inoperable Non-Cervical Esophageal Cancer
title Investigating Esophageal Stent-Placement Outcomes in Patients with Inoperable Non-Cervical Esophageal Cancer
title_full Investigating Esophageal Stent-Placement Outcomes in Patients with Inoperable Non-Cervical Esophageal Cancer
title_fullStr Investigating Esophageal Stent-Placement Outcomes in Patients with Inoperable Non-Cervical Esophageal Cancer
title_full_unstemmed Investigating Esophageal Stent-Placement Outcomes in Patients with Inoperable Non-Cervical Esophageal Cancer
title_short Investigating Esophageal Stent-Placement Outcomes in Patients with Inoperable Non-Cervical Esophageal Cancer
title_sort investigating esophageal stent-placement outcomes in patients with inoperable non-cervical esophageal cancer
topic Research Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5743730/
https://www.ncbi.nlm.nih.gov/pubmed/29290788
http://dx.doi.org/10.7150/jca.21854
work_keys_str_mv AT forootanmojgan investigatingesophagealstentplacementoutcomesinpatientswithinoperablenoncervicalesophagealcancer
AT tabatabaeefarmorteza investigatingesophagealstentplacementoutcomesinpatientswithinoperablenoncervicalesophagealcancer
AT mosaffanariman investigatingesophagealstentplacementoutcomesinpatientswithinoperablenoncervicalesophagealcancer
AT ashkalakhormatrahimzadeh investigatingesophagealstentplacementoutcomesinpatientswithinoperablenoncervicalesophagealcancer
AT darvishimohammad investigatingesophagealstentplacementoutcomesinpatientswithinoperablenoncervicalesophagealcancer