Aralik 2015
Malign özofageal disfajisi olan vakalarda içten kapli kendiliginden genisleyebilen metal stent uygulamalarimizin etkinlik ve güvenliginin degerlendirilmesi
Evaluation of efficacy and safety of our experiences with internally covered self-expandable metal stent in cases with malignant esophageal dysphagia
- Ana Sayfa
- Sayılar
- Aralik 2015
- Malign özofageal disfajisi olan vakalarda içten kapli kendiliginden genisleyebilen metal stent uygulamalarimizin etkinlik ve güvenliginin degerlendir...
Özet
Giris ve Amaç: Kendiliginden genisleyebilen metalik stentler malign disfajide palyatif bir tedavi yöntemidir. Çalismamizin amaci malign özofagus darliklarinda içten kapli kendiliginden genisleyebilen metalik stent uygulamalarimizin etkinlik ve güvenligini degerlendirmektir. Gereç ve Yöntem: Ocak 2014-Temmuz 2015 tarihleri arasinda Keçiören Egitim ve Arastirma Hastanesi Gastroenteroloji Klinigi’nde malign disfaji nedeni ile içten kapli kendiliginden genisleyebilen metalik stent uygulanmis 22 hasta çalismaya dahil edildi. Hastalar, yas, cinsiyet, primer malignensi odagi, darlik uzunlugu, darlik lokasyonu, trakeözofageal fistül varligi açisindan degerlendirildiler. Hastalar islem iliskili komplikasyonlar açisindan takip edildiler. Ortalama takip süresi 28 hafta idi (4 ila 48 hafta). Bulgular: 19 hasta (86%) erkek ve 3 (14%) hasta kadindi. En genç hasta 31, en yasli hasta 72 yasinda idi (ortalama yas: 58,1±10,4 yil). Ortalama disfaji skorlari stent uygulamasindan önce 3.0±0.61 iken, kendiliginden genisleyebilen metalik stent sonrasi 1,1±0,75’e geriledi. Hastalarimizda islem iliskili ciddi komplikasyon yasanmadi. Sonuç: Klinigimizde malign disfajilerde beslenmenin devaminin saglanmasi ve disfaji palyasyonu açisindan tercih edilen içten kapli kendiliginden genisleyebilen metalik stent’ler son derecede etkili ve güvenli bir sekilde uygulanmaktadir.
Abstract
Background and Aims: Self-expandable metal stents are an established palliative therapy for malignant dysphagia. The aim of our study was to evaluate the efficacy and safety of our experiences with internally covered self-expandable metal stents in cases with malignant esophageal strictures. Materials and Methods: 22 patients with advanced malignant dysphagia, who underwent esophageal internally covered self-expandable metal stent implementation at Keçioren Research and Training Hospital, Department of Gastroenterology between January 2015 and July 2015, were included in this study. The patients were evaluated for age, gender, primary malignancy focus, stricture location and length, and presence of tracheoesophageal fistula. Follow up for procedure related complications and dysphagia scores was performed, with a mean follow-up time of 28 weeks (range, 4 to 48). Results: 19 patients, (86%) were male and 3 (14%) female, were included in the study. The youngest patient was 31 years of age, while the oldest was 72 years of age (mean age, 58,1±10,4 years). Mean dysphagia scores (scale 0-4) improved from 3.0±0.61 to 1.1±0.75 after self-expandable metal stent implantation. There were no procedure-related major complications in this series. Conclusion: In our clinic, internally covered self-expandable metal stents, which are preferred for maintaining the nutrition and palliation of dysphagia in cases with malignant dysphagia, are used safely and effectively.
