About this Medicine article
Outcomes following oesophageal stent insertion for palliation of malignant strictures: A large single centre series by Nicholas J. Battersby; Glenn K. Bonney; Daren Subar; Laura Talbot; Bart Decadt; Niall Lynch is a Medicine article available to read on EtoBox.
## Abstract ## Background Self‐expanding metal stents (SEMS) are an accepted intervention for malignant dysphagia. Stents vary in ease of insertion, removability, migration and occlusion rates. This series reports the complications, morbidity and mortality associated with several SEMS. ## Method A prospective database of patients undergoing fluoroscopic guided oesophageal stent insertion for malignancy between June 2001 and June 2009 was analysed. Patient demographics, intervention outcomes and tumour variables were correlated with stent failure and patient survival. Multivariate analysis was performed to evaluate predictors for stent failure. ## Results Two hundred and seventy‐three stents were deployed using nine different types of SEMS. The median Mellow–Pinkas dysphagia score significantly improved from 3 to 1 post‐stent insertion (__P__ < 0.001), with a technical success rate of 98%. Stent complications occurred in 95 (36%) patients [recurrent dysphagia n = 49 (19%), migration n = 24 and occlusion n = 25]. Multivariate analysis demonstrates that the covered Niti S stent fails significantly more than the double‐layered Niti S stent (OR = 4, __P__ < 0.005). ## Conclusion Oesopha
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- Author
- Nicholas J. Battersby; Glenn K. Bonney; Daren Subar; Laura Talbot; Bart Decadt; Niall Lynch
- Publisher
- John Wiley and Sons; Wiley (John Wiley & Sons); John Wiley & Sons Inc.; Wiley (ISSN 0022-4790)
- Published
- 2011
- Language
- EN
- Field
- Medicine (Health Sciences)