کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
5644053 1406968 2016 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
The role of biodegradable stents in the management of benign and malignant oesophageal strictures: A cohort study
ترجمه فارسی عنوان
نقش استنت های دفع زیست محیطی در مدیریت ریسک های غذایی خوش خیم و بدخیم: یک مطالعه همگروه
کلمات کلیدی
استریج فیزیوتراپی استراتژی مطلوب، استراتژی بدخیم، استنت زیست تخریب پذیر،
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی دندانپزشکی، جراحی دهان و پزشکی
چکیده انگلیسی

BackgroundOesophageal strictures can be caused by benign or malignant processes. Up to 10% of patients with a benign stricture are refractory to pneumatic dilatation and may benefit from biodegradable stent (BD) insertion. Biodegradable stents also have a role in malignant oesophageal strictures to facilitate enteral nutrition while staging or neo-adjuvant treatment is completed. The aim of this study was to review the safety and efficacy of BD stents in the management of benign or malignant oesophageal strictures.MethodsA single centre retrospective cohort study was performed. Dysphagia was graded before and after stenting using a validated score. All patients were followed up for at least 30 days and all adverse events were recorded.ResultsTwenty eight stents were inserted in 20 patients; 11 for malignant and 17 for benign disease. One further attempted stenting was impossible due to a high benign stricture. There were no perforations and the 30-day mortality rate was zero. Mean dysphagia scores improved from 2.65 to 1.00 (p value <0.001) in benign disease and from 3.27 to 1.36 (p value <0.001) in patients with malignant disease. Surgical resection was not compromised following stent insertion in the malignant group.ConclusionsBiodegradable stent insertion is a safe and efficacious adjunct in the treatment of benign and malignant oesophageal strictures. In malignant disease, BD stent insertion can maintain enteral nutrition while staging or neo-adjuvant therapy is completed without adversely impacting on surgical resection.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: The Surgeon - Volume 14, Issue 6, December 2016, Pages 322-326
نویسندگان
, , , , , ,