Esophageal stent placement for esophageal stricture.docVIP

 PAGE \* MERGEFORMAT 8 Esophageal stent placement for esophageal stricture [Keywords:] esophageal stricture, dysphagia, balloon expansion, memory nitinol stent Dysphagia caused by esophageal stenosis is the main reason affecting the patient’s nutritional intake, severe directly endanger the lives of patients. Esophageal stent placement for treatment of esophageal stenosis is a safe and effective treatment, fewer complications, high success rate. Since 1998, we made use of nickel-titanium shape memory alloy esophageal stent, 64 cases of esophageal benign and malignant stenosis in the X light underwent esophageal balloon dilatation after stent placement, and achieved good results, reported below. Materials and Methods 1. General Information The group of 64 patients, 43 males and 21 females, aged 19 to 76 years old. Which 2 cases of esophageal chemical burns, esophageal, gastric cardia stenosis in 44 cases, 3 cases of esophageal fistula, esophageal anastomotic stenosis in 15 cases. stricture located in the aortic arch in 12 cases, 31 cases in the middle esophagus, located in the cardia (including 21 cases of cardiac surgery. According to the degree of dysphagia in patients with clinical manifestations, the difficulty swallowing is divided into 0 ~ 3 [1]: 0: no difficulty in swallowing, a: to enter semi-liquid, 2: only into the liquid, 3: fluid and water are difficult to swallow. The group of 64 patients had swallowing difficulties, including two 41 cases, 23 cases of grade 3. 2. Equipment and Methods Using domestic esophageal nitinol stent, the middle diameter of 16 ~ 20 mm, stent length of 4 ~ 16 cm. Preoperative routine endoscopy and esophageal barium radiography through in order to clear the narrow nature, location, length and degree of stenosis , select the appropriate stent, according to the different nature of the esophageal stenosis patients, the esophageal stent placement different on patients with benign esophageal stricture of common