Endoscopic memory alloy stent implantation in patients with severe 82 cases of malignant esophageal stenosis.docVIP

 PAGE \* MERGEFORMAT 7 Endoscopic memory alloy stent implantation in patients with severe 82 cases of malignant esophageal stenosis Of: Jia subjects, Yan Ping, LIU Li-ming, in Ying Lan, Juan [Abstract] Objective To evaluate endoscopic memory alloy stent implantation on severe treatment of malignant esophageal stenosis and safety. Methods 82 cases in this group of 58 males and 24 females; aged 55 to 83 years, median age of 67 years. were confirmed by endoscopy or surgical pathology of esophageal cancer, prior treatment with chemotherapy alone in 25 cases, 20 cases of radiotherapy, postoperative anastomotic recurrence in 15 patients, 22 patients without any treatment. narrow upper part of 23 cases, middle 39, the next segment 20 cases. the degree of stenosis in all cases can not be consumed, even to a small amount of water. the first line of meglumine esophageal imaging clearly lesions and stricture length in order to clearly support Guige. stent chosen 3 ~ 4cm longer than the lesion length is appropriate, that is, to retain the top 2cm, bottom to retain 1 ~ 2cm. endoscopy the next day to determine the lesion length of the upper incisors from the endoscope into the guide wire and through the narrow part of exit endoscopy, followed by Savary dilator expansion to 11 ~ 13cm or so, and then with the appropriate length of the stent implant into a narrow section along the guide wire to determine the exact location, the slow-eluting stent, stent implantation after withdrawal control and guide wire, and then endoscopic observation of the location and expansion of stent cases, such as the stent position is accurate and well-expansion, exit the endoscope, the entire operation is completed. after 2h into the liquid food, after 3 days into the semi-liquid or soft diet , after 1 week into the normal diet, postoperative avoid cold food. Results were first implanted in 82 patients with successful surgery can eat, dysphagia relief immediately. including 3 cases recurrence