NDLI: Radiological Image-Guided Placement of Covered Niti-S Stent for Palliation of Dysphagia in Patients with Cervical Esophageal Cancer

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Radiological Image-Guided Placement of Covered Niti-S Stent for Palliation of Dysphagia in Patients with Cervical Esophageal Cancer

Content Provider	PubMed Central
Author	Fujita, Takeshi Tanabe, Masahiro Shimizu, Kensaku Iida, Etsushi Matsunaga, Naofumi
Abstract	The aim of this study was to evaluate the clinical effectiveness of covered Niti-S stent placement under multidetector CT and fluoroscopy guidance for the palliation of dysphagia in patients with cervical esophageal cancer. Under radiological imaging guidance using axial and sagittal CT scans, and fluoroscopy, Niti-S esophageal stents were placed in ten consecutive patients with complete obstruction caused by cervical esophageal cancer (9 men and 1 woman; age range = 54–79 years; mean age = 68.1 years) between February 2010 and December 2011. The procedure time and technical success rate were evaluated. Swallowing improvement was assessed by the following items: ability to eat and/or swallow (graded as follows: 3 = ability to eat normal diet, 2 = ability to eat semisolids, 1 = ability to swallow liquids, 0 = complete obstruction). Procedural and post-procedural complications were also evaluated. Survival (mean ± SD) was examined. The mean (±SD) procedure time was 40 ± 19 min (range = 21–69 min). Stent placement was technically successful in all patients; inadequate stent deployment did not occur in any case. Ability to eat and/or swallow was improved and scored 2.4 (score 3 in 5 cases, score 2 in 4 cases, score 1 in 1 case, and score 0 in no case) after stent placement. No major or post-procedural complications were encountered. The mean survival time was 131 ± 77 days (range = 31–259 days). Niti-S stents appeared to be a safe and effective device for the palliation of dysphagia caused by advanced cervical esophageal cancer. Multidetector CT and fluoroscopy image guidance helped the operators accurately place the stents in the cervical esophagus.
Related Links	http://dx.doi.org/10.1007/s00455-013-9446-0
Ending Page	259
Page Count	7
Starting Page	253
File Format	PDF
ISSN	0179051X
e-ISSN	14320460
Journal	Dysphagia
Issue Number	2
Volume Number	28
Language	English
Publisher	Springer-Verlag
Publisher Date	2013-06-01
Access Restriction	Open
Rights Holder	Springer-Verlag
Subject Keyword	Speech and Hearing Gastroenterology Otorhinolaryngology Research in Higher Education
Content Type	Text
Resource Type	Article
Subject	Otorhinolaryngology Gastroenterology Speech and Hearing

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