Journal of Education, Health and Sport
Email this article Methods of stent placement in patients with upper-third and middle-third esophageal cancer
DOI: http://dx.doi.org/10.12775/JEHS.2019.09.11.006
Abstract
Relevance. At that moment of diagnosis patients with esophageal cancer (EC) are often inoperable due to locally advanced disease. Life expectancy in such cases augmented with dysphagia comprises 90 days in average. Curative treatment can be performed only in 20-30 % of patients with a 5-year survival rate varying from 10,3 to 35%.
Objective. Assessing short-term and long-term outcomes of patients with stents with EC depending on the localization of the primary tumor.
Materials and methods. We analyzed our experience of using intraesophageal self-expanding stents in ЕС patients. 49 of patients them had tumor in upper-third of esophagus and 73 patients had middle-third esophageal tumor location as compared to those who underwent stoma formation (53 patients) in EC patients.
Results. All patients who were stented had significantly lower grade of dysphagia and could eat in the ordinary way. It also improved quality of life, and many of such patients had an opportunity to continue treatment. It has been revealed that stenting of inoperable cancer patients with upper and middle-third esophageal cancer gives benefit to patients as it allows to continue to eat naturally and thereby significantly improves the quality of life in contrast to stoma placement. Patients with upper-third esophageal cancer who were not stented because of fistula formation had significantly better long-term survival than EC patients with stoma and similar cancer patients with middle-third esophageal tumors. Survival rate of patients with cancer of upper-third of esophagus after stenting not because of fistula was significantly better. Patients with cancer of the middle esophagus, who experienced stent placement because of fistulae, had the same long-term survival rate as cancer patients with middle esophageal tumors and with fistula who were not stented. It shows high efficacy of stenting in cancer of the middle-third esophagus with presence of fistula.
Conclusion. Stent placement in case of inoperable cancer of upper and middle-third of esophagus shows significant benefit. It allows patients to eat in an ordinary was, and thereby significantly improves the quality of life in comparison with stoma formation.
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Ganul, V. L., & Kirkilevsky, S. I. (2003). Rak pishevoda [Esophageal cancer]. Rukovodstvo dlja hirurgov I onkologov. Kiev: Kniga plus. (in Russian)
Davydov, M.I., & Stilidi, I.S. (2007). Rak pishevoda [Esophageal cancer]. Moskva: Practicheskaja medicina. (in Russian)
Miroshnikov, B. I., & Lebedinsky K. M. (2002). Hirurgija raka pischevoda [Esophageal Cancer Surgery]. SPB.: Foliant. (in Russian)
Chissov, V.I., Starinsky, V.V., & Petrova, G.V. (2008). Onkologia [Oncology]. Nacionalnoe rukovodstvo. Moskva: GEOTAR-Media. (in Russian)
Sundelöf, M., Lagergren, J., & Ye, W. (2008) Surgical factors influencing outcomes in patients resected for cancer of the esophagus or gastric cardia. World J Surg.;32(11), 2357-2365. doi: 10.1007/s00268-008-9698-2.
Xinopoulos, D., Dimitroulopoulos, D., Tsamakidis, K., Korkolis, D., Fotopoulou, A., Bazinis, A., … Paraskevas E. (2005). Palliative treatment of advanced esophageal cancer with metal-covered expandable stents. A cost-effectiveness and quality of life study. J BUON, 10(4), 523-528.
Kirkilevsky, S. I., Ganul, V. L., Kozachuk, A. M., Lukashenko, A. V., Kondratsky Y. N., Krakhmalev, P. S., Zaitsev, S. L. (2007). Stentirovanie pischevoda [Esophageal stent placement]. Zhurnal AMN Ukrainu”, 13(4), 700-716. (in Russian)
Sokolov, V.V. (2007). Endoprotezirovanie pri zlokachestvennoi stricture pischevoda i kardii [Endoprosthetics for malignant stricture of the esophagus and cardia]. Klinicheskie technologii, 1, 16. (in Russian)
Ross, W. A., Alkassab, F., Lynch, P. M., Ayers, G. D., Ajani, J., Lee, J. H., & Bismar, M. (2007). Evolving role of self-expanding metal stents in the treatment of malignant dysphagia and fistulas. Gastrointest Endosc., 65, 70–76. doi: 10.1016/j.gie.2006.04.040.
Siersema, P. D., Dees, J., & van Blankenstein, M. (1998). Palliation of malignant dysphagia from oesophageal cancer. Rotterdam Oesophageal Tumor Study Group. Scand J Gastroenterol Suppl., 225, 75-84.
Siersema, P. D., Homs, M. Y., Haringsma, J., Tilanus, H. W., & Kuipers, E. J.(2003). Use of large-diameter metallic stents to seal traumatic nonmalignant perforations of the esophagus. Gastrointest Endosc., 58(3), 356-361.
Malikhova, O.A., & Poddubny, B.K. (2008). Endoscopicheskoe stentirovanie organov zheludochno-kishechnogo tracta pri opycholevych I rubcovo-vospalitelnych strikturach [Endoscopic stent placement in gastrointestinal tract tumor stenosis and cicatricial stenosis]. Tichookeanskii medicinskii jurnal, 4 (pril.), 80–83. (in Russian)
Muravyov, V. Yu., Ivanov, A.I., Seagal, E.I., Burmistrov, M.V., Popov, V.A., Segal, A.M., ... Maksimov, A. P . (2017). Opyt lechenija nesostojatelnostei pischevodnych anastomozov i posleoperacionnoi perforacii pischevoda s ispolzovaniem endoskopicheskih tehnologii [Experience of treatment of esophageal anastomosis leakage and postoperative esophageal perforation using endoscopic technologies]. Povolzhskii onkologicheskii vestnik, 5 (32), 4-12. (in Russian)
Austin, A. S., Khan, Z., Cole, A.T., & Freeman, J. G. (2001). Placement of esophageal self-expanding metallic stents without fluoroscopy. Gastrointest Endosc., 54(3), 357-359.
Rathore, O. I., Coss, A., Patchett, S. E., & Mulcahy, H. E. (2006). Direct-vision stenting: the way forward for malignant oesophageal obstruction. Endoscopy, 38(4), 382-384. doi: 10.1055/s-2005-921040.
White, R. E., Chepkwony, R., Mwachiro, M., Burgert, S. L., Enders, F. T., & Topazian M. (2015). Randomized Trial of Small-diameter Versus Large-diameter Esophageal Stents for Palliation of Malignant Esophageal Obstruction. J Clin Gastroenterol., 49(8), 660-665. doi: 10.1097/MCG.0000000000000333.
Burdyukov, M.S., Yurichev I.N., & Nechipay A.M. (2009). Stentirovanie stenoticheskih striktur verhnich otdelov zheludochno-kishechnogo trakta [Stent placement in stenotic strictures of upper gastrointestinal tract]. Sb. tez. 13-go Mosk. mezhdunar. kongr. po endoscop. hirurgii, 22—24 апреля 2009 g., 63-64. (in Russian)
Godzhello, E. A., Khrustalyova, M. V., Gallinger, Yu. I., & Permyakov, V. B. (2012). Endoskopicheskaia korrekcija poznich oslozhnenij stentirovanija samoraspravljajuschimisja endoprotezami pri blastomatoznych porazhenijah pischevoda, kardii i pischevodnyh anastomozov [Endoscopic correction of late complications of stenting with self-expandable endoprostheses for blastomatous lesions of esophagus, cardia and esophageal anastomoses]. Almanakh instituta khirurgii im. A. V. Vischnevskogo, 7 (1), 158–159. (in Russian)
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