Evaluation of the Efficacy and Safety of Self-Expanding Metal Stents in Malignant Esophageal Strictures Due to Esophageal and Extraesophageal Cancers: A Retrospective Cross-Sectional Cohort Study

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dc.authoridEkrem Aslan / 0000-0003-0553-9622
dc.authoridAyca Salturk / 0000-0002-1979-9145
dc.authoridKoray Koçhan / 0000-0002-8150-6577
dc.authoridSerhat Özer / 0000-0001-7552-2776
dc.authoridHalil Şahin / 0000-0002-2718-0326
dc.authoridOsman Bedir / 0000-0003-0539-5307
dc.authoridMevlut Kiyak / 0000-0003-1672-5914
dc.authoridEmine Kanatsız / 0000-0003-2971-6443
dc.authoridAli Surmelioglu / 0000-0002-7697-0930
dc.authoridCan Gönen / 0000-0002-8882-9272
dc.authoridFatih Güzelbulut / 0000-0003-4889-208X
dc.authorscopusidEkrem Aslan / 55346005900
dc.authorwosidEkrem Aslan / K-3897-2019
dc.contributor.authorAslan, Ekrem
dc.contributor.authorSalturk, Ayca
dc.contributor.authorKoçhan, Koray
dc.contributor.authorÖzer, Serhat
dc.contributor.authorŞahin, Halil
dc.contributor.authorBedir, Osman
dc.contributor.authorKiyak, Mevlut
dc.contributor.authorKanatsız, Emine
dc.contributor.authorSurmelioglu, Ali
dc.contributor.authorGönen, Can
dc.contributor.authorGüzelbulut, Fatih
dc.date.accessioned2025-04-18T09:24:10Z
dc.date.available2025-04-18T09:24:10Z
dc.date.issued12.11.2024
dc.departmentİstinye Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü
dc.description.abstractIntroduction: Malignant esophageal obstructions can lead to malnutrition, mortality, and difficulties in managing the underlying malignancy. Endoscopic stent placement is a palliative treatment method that can provide rapid improvement in dysphagia. The aim of this study is to investigate the short-term effectiveness and safety of endoscopic stent placement in patients with malignant esophageal obstructions. Methods: Patients who underwent endoscopic stent placement due to malignant esophageal strictures between January 2012 and January 2018 were retrospectively reviewed. Demographics, dysphagia scores, complications, and mortality data of the patients with stent placement were evaluated. Results: The mean age of the 46 patients was 67.1±13.3 years, and 19 (41.3%) were female. Endoscopic stents were placed mostly for esophageal cancer in 26 (56.5%) patients. The most common pathological diagnosis was esophageal squamous cell carcinoma (58.6%). A fully covered self-expanding metallic stent was placed in 19 (41.3%) and a partially covered one in 27 (58.7%) patients. The technical success rate was 100%. Forty (86.9%) patients began to eat soft foods 24 hours after stent placement. The most common complication was retrosternal pain (56.5%). Complications requiring endoscopic intervention occurred in 5 (10.8%) patients. Mortality occurred in 40 (87%) patients, and 11 (27.5%) survived for more than 3 months (Min-max: 125-512 days). Discussion and Conclusion: Although the endoscopic placement of a self-expanding metallic stent in patients with malignant dysphagia may have the potential to cause complications, it is a reliable palliative treatment method that can be preferred due to its high technical success rate and rapid relief of dysphagia.
dc.identifier.citationASLAN, E., SALTURK, A., KOÇHAN, K., ÖZER, S., ŞAHIN, H., BEDIR, O., KIYAK, M., KANATSIZ, E., SURMELIOGLU, A., GÖNEN, C., GÜZELBULUT, F. (2024). Evaluation of the Efficacy and Safety of Self-Expanding Metal Stents in Malignant Esophageal Strictures Due to Esophageal and Extraesophageal Cancers: A Retrospective Cross-Sectional Cohort Study. Haydarpaşa Numune Medical Journal , 64(3), 381 - 390. doi.org/10.14744/hnhj.2023.70594
dc.identifier.doi10.14744/hnhj.2023.70594
dc.identifier.endpage390
dc.identifier.issue3
dc.identifier.startpage381
dc.identifier.urihttps://search.trdizin.gov.tr/tr/yayin/detay/1279081/evaluation-of-the-efficacy-and-safety-of-self-expanding-metal-stents-in-malignant-esophageal-strictures-due-to-esophageal-and-extraesophageal-cancers-a-retrospective-cross-sectional-cohort-study
dc.identifier.urihttps://hdl.handle.net/20.500.12713/6780
dc.identifier.volume64
dc.institutionauthorAslan, Ekrem
dc.institutionauthoridEkrem Aslan / 0000-0003-0553-9622
dc.language.isoen
dc.publisherKare Yayıncılık
dc.relation.ispartofHaydarpaşa Numune Medical Journal
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectComplication
dc.subjectEfficacy
dc.subjectEsophagus
dc.subjectMalignant obstruction
dc.subjectSelf-expandable metal stent.
dc.titleEvaluation of the Efficacy and Safety of Self-Expanding Metal Stents in Malignant Esophageal Strictures Due to Esophageal and Extraesophageal Cancers: A Retrospective Cross-Sectional Cohort Study
dc.typeArticle

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