Complicaciones de las endoprótesis metálicas autoexpandibles en la obstrucción maligna esofágica y gastroduodenal. Estudio de seis casos
ISSN: 0304-4866, 1989-3922
Year of publication: 2020
Volume: 81
Issue: 1
Pages: 8-12
Type: Article
More publications in: Galicia Clínica
Abstract
Management of malignant obstruction of gastrointestinal tract continues to be a great challenge. Most of patients have advanced tumors at diagnosis and they are not good candidates for major surgical procedures. During the last years, self-expanding stents have shown to be an effective, safe and less invasive option for the treatment of malignant esophageal and gastroduodenal obstruction. Data confirm the efficacy of the stent in the palliation of malignant esophageal and gastroduodenal obstruction with low complications rates. Success rates of 85-90% are described, and most patients tolerate food 24-36 hours after the procedure. Major complications such as perforation are rare, but others such as stenosis or migration of the stent sometimes become a real therapeutic challenge in patients whose performance status is poor. We present cases of patients with diagnosis of esophageal or gastric neoplasms treated with stents, who developed complications