The Role of Self-Expandable Metallic Stents in the Treatment of Malignant Strictures in all Segments of the Gastrointestinal Tract.

IF 1.1 Q4 HEALTH CARE SCIENCES & SERVICES Indian Journal of Palliative Care Pub Date : 2023-01-01 Epub Date: 2023-01-11 DOI:10.25259/IJPC_106_2021

A K Çağatay, Süleyman Sayar, Ebru Tarıkçı Kılıç, Resul Kahraman, Oğuzhan Öztürk, Kamil Özdil

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引用次数: 1

Abstract

Objectives: Management of malignant gastrointestinal (GI) obstruction presents a significant challenge. Most patients are in a profoundly decompensated state due to underlying malignancy and are not ideal candidates for invasive surgical procedures. Self-expandable metallic stents (SEMSs) are used to provide permanent or temporary patency in all endoscopically accessible stenosis of the GI tract. In this study, it is aimed to analyse the characteristics and the efficacy of patients with malignant stenosis treated with SEMS, in all segments of the GI tract.

Material and methods: The sample consisted of 60 patients who underwent SEMS replacement, between 10 March 2014 and 16 December 2020, to treat malignant-related strictures in the GI tract at the Gastroenterology Department of the Health Sciences University Umraniye Training and Research Hospital. The data of the patients, hospital data processing database and electronic endoscopic database records were retrospectively scanned and recorded. The general characteristics of the patients and the treatment-related features were analysed.

Results: The mean age of patients who were placed SEMS was 69.7 ± 13.7 years. Uncovered (15%, n: 9), fully covered (13.3%, n: 8), or partially covered (71.6%, n: 43) SEMS were successfully placed in all patients. Clinical success in patients with SEMS was 85.7% in the esophagus, 100% in the small intestine and 90.9% in the stomach and colon. About 11.4% migration, 14.2% pain, 11.4% overgrowth and 5.7% ingrowth were detected in patients who had SEMS placed in the oesophagus. Pain was detected in 9.1% and ingrowth in 18.2% of patients who had SEMS placed in the stomach. Pain was detected in 18.2% of the patients who had SEMS placed in the colon and migration was found in 9.1%.

Conclusion: SEMS implant is a minimally invasive effective method in the palliative treatment of malignant strictures of the GI tract.

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自膨胀金属支架在治疗胃肠道各节段恶性狭窄中的作用。

目的：恶性胃肠道梗阻的治疗是一项重大挑战。由于潜在的恶性肿瘤，大多数患者处于严重的失代偿状态，不是侵入性手术的理想候选者。自膨胀金属支架（SEMSs）用于在所有内镜下可到达的胃肠道狭窄中提供永久或临时的通畅性。在这项研究中，旨在分析SEMS治疗胃肠道各节段恶性狭窄患者的特点和疗效。材料和方法：样本包括60名患者，他们在2014年3月10日至2020年12月16日期间在乌姆兰尼耶卫生科学大学培训研究医院胃肠科接受了SEMS置换术，以治疗胃肠道恶性相关狭窄。对患者的数据、医院数据处理数据库和电子内窥镜数据库记录进行回顾性扫描和记录。分析了患者的一般特征和治疗相关特征。结果：放置SEMS的患者平均年龄为69.7±13.7岁。所有患者均成功放置了未覆盖（15%，n:9）、完全覆盖（13.3%，n:8）或部分覆盖（71.6%，n:43）的SEMS。SEMS患者的临床成功率在食道为85.7%，在小肠为100%，在胃和结肠为90.9%。在食道放置SEMS的患者中，检测到约11.4%的迁移、14.2%的疼痛、11.4%的过度生长和5.7%的向内生长。在胃中放置SEMS的患者中，9.1%的患者发现疼痛，18.2%的患者出现向内生长。在结肠放置SEMS的患者中，18.2%的患者发现疼痛，9.1%的患者出现迁移。结论：SEMS植入物是姑息治疗胃肠道恶性狭窄的一种微创有效方法。

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来源期刊

Indian Journal of Palliative Care HEALTH CARE SCIENCES & SERVICES-

CiteScore

2.30

自引率

0.00%

发文量

期刊介绍： Welcome to the website of the Indian Journal of Palliative Care. You have free full text access to recent issues of the journal. The links connect you to •guidelines and systematic reviews in palliative care and oncology •a directory of palliative care programmes in India and IAPC membership •Palliative Care Formulary, book reviews and other educational material •guidance on statistical tests and medical writing.