Esophageal stenosis within the stent in the treatment of disease - Analysis of 110 Cases


Cardia cancer, 44 cases of esophageal stenosis in 2 cases of lung cancer suppression. is group of patients had history of dysphagia,Nike Schuhe Günstig, were confirmed by esophageal barium meal or endoscopy confirmed. 110 cases have been placed within the stent 118. Are made of nickel-titanium shape memory alloy mesh stent, which stent 47, anti-reflux stent 2. Stent length used in the 80-120mm, diameter 18-20ram. Stent placement in the x-ray surveillance operation to complete. Of the mediastinal trachea esophageal fistula and concurrent use stent. Anastomotic stenosis and cardiac stent not preferred. Beyond the extent of disease at both ends of the stent 2o a 30ram appropriate. 2 results of 110 cases of human esophageal stent was successful in all home, did not occur due to operation due to serious complications. Set of people swallowing function improved immediately after stent (difficulty swallowing four levels, 0: no difficulty in swallowing; 1: to enter semi-liquid food; 2: only liquid food; 3: can not swallow water or saliva). 108 cases of improvement in one or more, to 0 or l level. 2 cases of lung cancer caused by mediastinal lymph nodes of esophageal stenosis oppression, that puts people stent because of persistent chest pain, but only liquid food. review after stenting stent expansion to 14-20ram. Two cases of esophageal chemical burns patients without stent placement, respectively, at 1 week and 2 months restenosis, 1 patient after stent re-set man, swallowing functional recovery 0. e other cases had balloon angioplasty to l-level functions. One case of cardiac stent placement and 1 week after the review, set frame down 30ram, but not out of human stomach, stenosis remains unobstructed. Author JIL-bit: Shandong Zibo Central Hospital Department of Radiology (255036) mediated by tube: Zuo-Shun, male, 52 years old, director, deputy director of the physician. Other stents were not shifted. 3 patients with tracheal fistula after stent implantation, drinking cough symptoms immediately eliminate the fire, barium meal, the fistula closed. e use of non-stent group were 61 cases, 13 cases due to cancer growth through the stent mesh caused by luminal stenosis. Two cases of patients with esophageal chemical burns due to excessive proliferation of inflammatory granulation tissue caused by restenosis. 6 cases of re-implantation of the stent. Stent in 49 cases, 9 cases in the stent restenosis occurs catchy, of which 5 cases had balloon angioplasty to restore a diet. is group of patients after stenting dysphagia improvement rate accounted for 98.2% (108/110). Restenosis rate 21.8 (24/110). 3 Discussion of benign and malignant esophageal stent used in the narrow, because of its simple operation, safe and effective, can significantly improve the quality of life of patients has been widely used. However, as time goes on, after placing the stent lumen restenosis, stent displacement, the patient's tolerance of different caused concern. Foreign literature, esophageal stent placement without restenosis rate was 36% (21/59) n]. Placed stent restenosis rate of 9% (3 / 32) Heart J. Domestic literature restenosis rate was 37% (16/43) J. is paper 24 cases of restenosis, the incidence was 21.8% (24/110). 15 cases are not stent, tumor tissue or inflammatory granulation tissue growth through the mesh due to the cavity. Nine cases the stent, the stent appeared catchy narrow limitations. e stenosis was not caused by tumor growth, but because of normal esophageal peristalsis blocked when reaching the upper edge of bracket, stand on the edge of the esophagus and produce a soft cutting edge, so that mucosal damage,franklin marshall outlet, tissue hyperplasia. Of stent migration issues, stent displacement rate of about 10%, with no stent displacement rate is less than 5% [4]. Only 1 case in this group coated cardiac stent placed after 1 week down, but not completely fall into the stomach,Écharpe Burberry, does not affect the diet. No one cases of other stent displacement. cording to the different lesions, when we choose to stand grasp the following principles: concurrent use of mediastinal fistula by stent-graft; addition to cardiac tube anastomosis and esophageal stenosis other than any part of the stent of choice; anastomotic stenosis and cardiac stents of choice, although Easy mesh embedded lesions caused by restenosis, but the stand stable, not shift. When embedded in the organization resulting in in-stent restenosis, lumen, they can then set into the coated stent. At this point while maintaining the smooth lumen stenosis, stents are not easy to shift. Stent implantation on the issue of tolerance varies from person to person due to illness. is paper has two cases of mediastinal lymph nodes of esophageal stenosis oppression, pain stent implantation for a long time. Served by pain medicine and anti-inflammatory acupuncture ease. We believe that the external pressure of esophageal stenosis, esophageal submucosa of the nerve tissue is normal (often made destruction of the tumor),mulberry outlet, stent implantation, due to the mechanical pressure leading to long-term inflammatory response and sustained pain. erefore, esophageal stenosis of external pressure,columbia sportwear, put the plant inside the stent should be carefully considered. [Received Date: 200 ~ a 11-09]