Endoscopic Intubation with Conventional Plastic Stents: A Safe and Cost-Effective Palliation for Inoperable Esophageal Cancer

Károly Szentpáli, András Palotás, G. Lazar, Attila Paszt, Ádám Balogh

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Access to expensive equipment and costly self-expanding metal endoprostheses is limited in some regions where unresectable esophageal cancer is not infrequent. The aim of this study was to review the long-term results of palliation of malignant esophageal obstruction using low-priced conventional plastic stents. One hundred sixty-nine patients with dysphagia due to inoperable esophageal cancer underwent esophageal intubation under endoscopic control alone, without general anesthesia, by the pulsion method. Stents mounted on their delivery device were inserted over an endoscopically placed guide wire. Improvement in swallowing was seen in all patients. Dysphagia scores have improved from 3.64 ± 0.21 to 1.08 ± 0.17. Major early procedure-related morbidity was high at 0.6% with one intramural perforation (no transmural perforation at all). Minimal mucosal bleeding was seen with 72 cases (42.6%). Procedure-related mortality was 0%. Late procedure-related complications requiring further endoscopic procedures occurred in 8.2% (tube occlusion: 5.3%, tube dislocation: 2.9%). Our 7-day mortality was 0% and 5 patients died within 30 days, usually from the disease itself. Those surviving the procedure (more than 7 days) had a mean survival of 209 days. Esophageal plastic stents can be accurately and safely placed under direct endoscopic control with lower costs. Therefore, endoscopic intubation remains a useful palliative treatment for patients with unresectable carcinoma of the esophagus.

Original languageEnglish
Pages (from-to)22-27
Number of pages6
JournalDysphagia
Volume19
Issue number1
DOIs
Publication statusPublished - Dec 2004

Fingerprint

Esophageal Neoplasms
Intubation
Plastics
Stents
Costs and Cost Analysis
Deglutition Disorders
Equipment and Supplies
Mortality
Deglutition
Palliative Care
General Anesthesia
Esophagus
Metals
Hemorrhage
Morbidity
Carcinoma
Survival

Keywords

  • Carcinoma
  • Deglutition
  • Deglutition disorders
  • Dysphagia
  • Esophagus
  • Palliation
  • Stent

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Gastroenterology

Cite this

Endoscopic Intubation with Conventional Plastic Stents : A Safe and Cost-Effective Palliation for Inoperable Esophageal Cancer. / Szentpáli, Károly; Palotás, András; Lazar, G.; Paszt, Attila; Balogh, Ádám.

In: Dysphagia, Vol. 19, No. 1, 12.2004, p. 22-27.

Research output: Contribution to journalArticle

Szentpáli, Károly ; Palotás, András ; Lazar, G. ; Paszt, Attila ; Balogh, Ádám. / Endoscopic Intubation with Conventional Plastic Stents : A Safe and Cost-Effective Palliation for Inoperable Esophageal Cancer. In: Dysphagia. 2004 ; Vol. 19, No. 1. pp. 22-27.
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