Endoscopic treatment of stenosing esophageal cancer
https://doi.org/10.31146/1682-8658-ecg-213-5-13-20
Abstract
Objective. To highlight the main criteria for selection of patients and materials for endoscopic stenting in stenotic esophageal cancer of different localization, to consider the key stages of surgery and its possible complications. Materials and Methods. 102 endoscopic stenting surgeries in patients with stenotic esophageal cancer of various degrees of obstruction were performed in S. P. Botkin GKB in the period from 2019 to 2021. The analysis of the literature data and comparison of the existing types of esophageal stents were performed, the stenting technique used in our clinic and the review of the causes of complications after endoscopic stenting were considered. Results. Endoscopic stenting in 101 cases (99%) was technically successful; in 99 patients (97%) stenting resulted in positive clinical effect. Conclusion. Endoscopic treatment of stenotic esophageal cancer is an effective and safe method of surgical treatment of patients with clinical manifestations of severe dysphagia.
About the Authors
I. Yu. Korzheva
S.P. Botkin Municipal Clinical Hospital; Russian Medical Academy of Continuing Professional Education of the Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
K. V. Suslova
S.P. Botkin Municipal Clinical Hospital
Russian Federation
Russian Federation
M. V. Chernov
S.P. Botkin Municipal Clinical Hospital
Russian Federation
Russian Federation
References
1. Kaprin A. D., Starinskij V. V., Shahzadova A. O. [The State of Oncological Care for the Population of Russia in 2021]. Мoscow. FSBI NMRRC of the Ministry of Health of Russia and P. Hertzen. Publ., 2022: 24-25.
2. Sharma P., Kozarek R.; Practice Parameters Committee of American College of Gastroenterology. Role of esophageal stents in benign and malignant diseases. Am J Gastroenterol. 2010 Feb;105(2):258-73; quiz 274. doi: 10.1038/ajg.2009.684.
3. Kaltsidis H., Mansoor W., Park J. H., Song H. Y., Edwards D. W., Laasch H. U. Oesophageal stenting: Status quo and future challenges. Br J Radiol. 2018 Nov;91(1091):20170935. doi: 10.1259/bjr.20170935.
4. Blok B., Shahshal’ G., Shmidt G. Gastroscopy. Moscow. MEDpress-inform Publ., 2007, 190 P.
5. Frolova E. V., Bogdanov D. Yu., Kurganov I. A., et al. Endoscopic esophageal stenting in patients with strictures of different etiology. Endoscopic Surgery. 2019;25(2):52-59. (In Russ.) doi: 10.17116/endoskop20192502152.@@ Фролова Е. В., Богданов Д. Ю., Курганов И. А., и соавт. Эндоскопическое стентирование пищевода у пациентов со стриктурами различного генеза. Эндоскопическая хирургия. 2019;25(2):52-59. doi: 10.17116/endoskop20192502152.
6. Spaander M. C.W., van der Bogt R. D., Baron T. H., et al. Esophageal stenting for benign and malignant disease: European Society of Gastrointestinal Endoscopy (ESGE) Guideline - Update 2021. Endoscopy. 2021 Jul;53(7):751-762. doi: 10.1055/a-1475-0063.
7. Eickhoff A., Knoll M., Jakobs R., Weickert U., Hartmann D., Schilling D., Eickhoff J. C., Riemann J. F. Self-expanding metal stents versus plastic prostheses in the palliation of malignant dysphagia: long-term outcome of 153 consecutive patients. J Clin Gastroenterol. 2005 Nov-Dec;39(10):877-85. doi: 10.1097/01.mcg. 0000180631.61819.4a.
8. Siddiqui A. A., Sarkar A., Beltz S., Lewis J., Loren D., Kowalski T., Fang J., Hilden K., Adler D. G. Placement of fully covered self-expandable metal stents in patients with locally advanced esophageal cancer before neoadjuvant therapy. Gastrointest Endosc. 2012 Jul;76(1):44-51. doi: 10.1016/j.gie.2012.02.036.
9. Vakil N., Morris A. I., Marcon N., et al. A prospective, randomized, controlled trial of covered expandable metal stents in the palliation of malignant esophageal obstruction at the gastroesophageal junction. Am J Gastroenterol. 2001 Jun;96(6):1791-6. doi: 10.1111/j.1572-0241.2001.03923.x.
10. Eleftheriadis E., Kotzampassi K. Endoprosthesis implantation at the pharyngo-esophageal level: problems, limitations and challenges. World J Gastroenterol. 2006 Apr 7;12(13):2103-8. doi: 10.3748/wjg.v12.i13.2103.
11. Pavlov P. V., Sokolov V. V., Pirogov S. S., Karpova E. S., Pogorelov N. N., Sukhin D. G. [Endoscopic stenting of malignant stenosis in the cervical esophagus]. Eksp Klin Gastroenterol. 2014;(3):67-71.Russian. PMID: 25518485.
12. Lee S., Osugi H., Tokuhara T., et al. Self-expandable metallic stent for unresectable malignant strictures in the esophagus and cardia. Jpn J Thorac Cardiovasc Surg. 2005 Sep;53(9):470-6. doi: 10.1007/s11748-005-0089-4.
13. Laasch H. U., Marriott A., Wilbraham L., Tunnah S., England R. E., Martin D. F. Effectiveness of open versus antireflux stents for palliation of distal esophageal carcinoma and prevention of symptomatic gastroesophageal reflux. Radiology. 2002 Nov;225(2):359-65. doi: 10.1148/radiol.2252011763.
14. Hindy P., Hong J., Lam-Tsai Y., Gress F. A comprehensive review of esophageal stents. Gastroenterol Hepatol (N Y). 2012 Aug;8(8):526-34. PMID: 23293566
15. Popova N. S., Avanesyan A. A., Miroshnikov B. I., Moiseenko V. M. Esophageal stenting for unresectable cancer (review of literature). Grekov’s Bulletin of Surgery. 2020;179(5):113-119. (In Russ.). doi: 10.24884/0042-4625-2020-179-5-113-119.@@ Попова Н. С., Аванесян А. А., Мирошников Б. И., Моисеенко В. М. Стентирование пищевода при неоперабельном раке (обзор литературы). Вестник хирургии имени И. И. Грекова. 2020;179(5):113-119. doi: 10.24884/0042-4625-2020-179-5-113-119.
16. Ross W. A., Alkassab F., Lynch P. M., Ayers G. D., Ajani J., Lee J. H., Bismar M. Evolving role of self-expanding metal stents in the treatment of malignant dysphagia and fistulas. Gastrointest Endosc. 2007 Jan;65(1):70-6. doi: 10.1016/j.gie.2006.04.040.
17. Shin J. H., Song H. Y., Ko G. Y., Lim J. O., Yoon H. K., Sung K. B. Esophagorespiratory fistula: long-term results of palliative treatment with covered expandable metallic stents in 61 patients. Radiology. 2004 Jul;232(1):252-9. doi: 10.1148/radiol.2321030733.
18. Saranovic Dj., Djuric-Stefanovic A., Ivanovic A., Masulovic D., Pesko P. Fluoroscopically guided insertion of self-expandable metal esophageal stents for palliative treatment of patients with malignant stenosis of esophagus and cardia: comparison of uncovered and covered stent types. Dis Esophagus. 2005;18(4):230-8. doi: 10.1111/j.1442-2050.2005.00484.x.
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For citations:
Korzheva I.Yu., Suslova K.V., Chernov M.V. Endoscopic treatment of stenosing esophageal cancer. Experimental and Clinical Gastroenterology. 2023;(5):13-20. (In Russ.) https://doi.org/10.31146/1682-8658-ecg-213-5-13-20
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