Deployment of Self-expanding Metallic Stents Under Fluoroscopic Guidance in Patients with Malignant Esophagorespiratory Fistula

作者：Chen Ji; Chen Zhi Ming^*; Pang Lie Wen; Zhu Yong Jun; Chen Gang; Ma Qing Yun; Miao Feng

来源：Hepato-Gastroenterology, 2011, 58(105): 64-68.

• Stent
• Fistula
• Fluoroscopy
• Esophagorespiratory fistula

Background/Aims: Stent deployment for the treatment of ERFs is typically performed under endoscopic guidance. Our aim was to evaluate self-expanding metallic stent placement under fluoroscopic guidance.
Methodology: The records of six patients who underwent self-expanding metallic stent placement under fluoroscopic guidance for the treatment of ERFs were reviewed. Technical data of the procedures, complications, and associated morbidity were recorded. The main outcome measures were dysphagia score, KPS, and survival.
Results: Stents were successfully inserted in all 6 patients without complications, and all procedures were completed within 15 minutes. The mean dysphagia score was 4 +/- 0 before treatment and 1.2 +/- 0.8 one week after stent placement. The mean KPS increased significantly from 28.0 +/- 9.8 before stent placement to 58.3 +/- 16.0 one week after placement (p=0.001). For the patients who had KPS <= 50 one week after the surgery, the survival period was relatively short (mean, 37 days). For the patients who had KPS >= 60 one week after the surgery, the mean survival period was 192 days.
Conclusions: Self-expanding metallic stent placement can be performed safely and quickly under fluoroscopic guidance alone.

• 出版日期2011-2
• 单位复旦大学