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TECHNICAL DIFFICULTIES AND PROCEDURAL COMPLICATIONS IN CLOSING MALIGNANT ESOPHAGEAL-RESPIRATORY FISTULAS

The aim of the study was to outline technical difficulties and procedural complications of using partially covered esophageal self-expandable metal stents (SEMSs) in malignant esophageal respiratory fistulas (ERFs) as a palliative treatment option. In this study, 150 patients with malignant dysphagi...

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Autores principales: Cozorici, Andrei, Porumb, Vlad, Lunca, Sorinel, Grigoras, Ioana, Ristescu, Irina, Jitaru, Iulia, Patrascanu, Emilia, Gavril, Laura, Dimofte, Gabriel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Sestre Milosrdnice University Hospital and Institute of Clinical Medical Research, Vinogradska cesta c. 29 Zagreb 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9196228/
https://www.ncbi.nlm.nih.gov/pubmed/35734501
http://dx.doi.org/10.20471/acc.2021.60.04.18
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author Cozorici, Andrei
Porumb, Vlad
Lunca, Sorinel
Grigoras, Ioana
Ristescu, Irina
Jitaru, Iulia
Patrascanu, Emilia
Gavril, Laura
Dimofte, Gabriel
author_facet Cozorici, Andrei
Porumb, Vlad
Lunca, Sorinel
Grigoras, Ioana
Ristescu, Irina
Jitaru, Iulia
Patrascanu, Emilia
Gavril, Laura
Dimofte, Gabriel
author_sort Cozorici, Andrei
collection PubMed
description The aim of the study was to outline technical difficulties and procedural complications of using partially covered esophageal self-expandable metal stents (SEMSs) in malignant esophageal respiratory fistulas (ERFs) as a palliative treatment option. In this study, 150 patients with malignant dysphagia underwent treatment with SEMSs. A total of 36 ERFs were detected through endoscopic or clinical assessment. Complete fistula sealing with SEMSs was possible in 35 of the 36 patients. The majority of fistulas were diagnosed in male patients with advanced esophageal cancer. All of them presented with prolonged dysphagia and cachexia. Stent migration or tumoral overgrowth was identified in 6 cases with recurrent dysphagia, and required a second stent insertion. SEMSs were highly efficient in 98% of the patients studied with ERFs, with successfully sealed ERFs after the first attempt, with an overall median survival rate of 92 days. The technique of esophageal SEMS placement is simple and can be rapidly mastered. Patients with ERFs have a respiratory shunt that makes intubation difficult and is often avoided. Restoring oral feeding increased the patient quality of life. SEMS placement is generally safe, but has few associated postoperative complications.
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spelling pubmed-91962282022-06-21 TECHNICAL DIFFICULTIES AND PROCEDURAL COMPLICATIONS IN CLOSING MALIGNANT ESOPHAGEAL-RESPIRATORY FISTULAS Cozorici, Andrei Porumb, Vlad Lunca, Sorinel Grigoras, Ioana Ristescu, Irina Jitaru, Iulia Patrascanu, Emilia Gavril, Laura Dimofte, Gabriel Acta Clin Croat Original Scientific Papers The aim of the study was to outline technical difficulties and procedural complications of using partially covered esophageal self-expandable metal stents (SEMSs) in malignant esophageal respiratory fistulas (ERFs) as a palliative treatment option. In this study, 150 patients with malignant dysphagia underwent treatment with SEMSs. A total of 36 ERFs were detected through endoscopic or clinical assessment. Complete fistula sealing with SEMSs was possible in 35 of the 36 patients. The majority of fistulas were diagnosed in male patients with advanced esophageal cancer. All of them presented with prolonged dysphagia and cachexia. Stent migration or tumoral overgrowth was identified in 6 cases with recurrent dysphagia, and required a second stent insertion. SEMSs were highly efficient in 98% of the patients studied with ERFs, with successfully sealed ERFs after the first attempt, with an overall median survival rate of 92 days. The technique of esophageal SEMS placement is simple and can be rapidly mastered. Patients with ERFs have a respiratory shunt that makes intubation difficult and is often avoided. Restoring oral feeding increased the patient quality of life. SEMS placement is generally safe, but has few associated postoperative complications. Sestre Milosrdnice University Hospital and Institute of Clinical Medical Research, Vinogradska cesta c. 29 Zagreb 2021-12 /pmc/articles/PMC9196228/ /pubmed/35734501 http://dx.doi.org/10.20471/acc.2021.60.04.18 Text en https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives (CC BY-NC-ND) 4.0 License.
spellingShingle Original Scientific Papers
Cozorici, Andrei
Porumb, Vlad
Lunca, Sorinel
Grigoras, Ioana
Ristescu, Irina
Jitaru, Iulia
Patrascanu, Emilia
Gavril, Laura
Dimofte, Gabriel
TECHNICAL DIFFICULTIES AND PROCEDURAL COMPLICATIONS IN CLOSING MALIGNANT ESOPHAGEAL-RESPIRATORY FISTULAS
title TECHNICAL DIFFICULTIES AND PROCEDURAL COMPLICATIONS IN CLOSING MALIGNANT ESOPHAGEAL-RESPIRATORY FISTULAS
title_full TECHNICAL DIFFICULTIES AND PROCEDURAL COMPLICATIONS IN CLOSING MALIGNANT ESOPHAGEAL-RESPIRATORY FISTULAS
title_fullStr TECHNICAL DIFFICULTIES AND PROCEDURAL COMPLICATIONS IN CLOSING MALIGNANT ESOPHAGEAL-RESPIRATORY FISTULAS
title_full_unstemmed TECHNICAL DIFFICULTIES AND PROCEDURAL COMPLICATIONS IN CLOSING MALIGNANT ESOPHAGEAL-RESPIRATORY FISTULAS
title_short TECHNICAL DIFFICULTIES AND PROCEDURAL COMPLICATIONS IN CLOSING MALIGNANT ESOPHAGEAL-RESPIRATORY FISTULAS
title_sort technical difficulties and procedural complications in closing malignant esophageal-respiratory fistulas
topic Original Scientific Papers
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9196228/
https://www.ncbi.nlm.nih.gov/pubmed/35734501
http://dx.doi.org/10.20471/acc.2021.60.04.18
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