Mustafa YAKUT, Kubilay ÇINAR, Ramazan İDİLMAN, Kadir BAHAR

Malign özofagus darlığı olgusunda multipl stent uygulaması

Özofageal stentler en sık olarak, cerrahinin uygun olmadığı özofagus kanserli hastalarda, malign disfajinin palyasyonunda kullanılmaktadır. İnoperabl özofagus kanseri tanısı 24 aydır takip edilen 77 yaşındaki erkek hastada gastroskopide özofagusta 20. cm'de lümeni tam daraltan malign darlık izlendi. Hastaya daha önce multipl metal stent uygulaması yapılmıştı. Endoskopik olarak floroskopi yardımı ile beşinci kez metal stent yerleştirildi.

Anahtar Kelimeler:

Özofagus metal stent, multipl, özofagus kanseri

Treatment of malignant esophageal obstruction with multiple esophageal stents

The most common indication for placement of an esophageal self-expanding metal stent is palliation of malignant dysphagia in patients with tumors of the esophagus. We present a 77-year-old female with a 24-month history of inoperable cancer of the esophagus. Esophagogastroduodenoscopy was performed, which revealed a large ulcerated and obstructing mass in the 20th centimeter of the esophagus. Multiple esophageal stents were placed. A fifth selfexpanding metal endoprosthesis was placed under endoscopic guidance with the aid of fluoroscopy.

Keywords:

Esophageal metal stents, multiple, esophagus cancer,

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Slazenger and Fortran’s. Gastrointestinal and Liver Disease. Ninth editi- on. P 745-53.
Lambert R. An overview of the management of cancer of the esophagus. Gastrointest Endosc Clin N Am 1998; 8: 415-34.
Lambert R. Treatment of esophagogastric tumors. Endoscopy 2003; 35: 118-26.
Domschke W, Foerster EC, Matek W, Rödi W. Self-expanding mesh stent for esophageal cancer stenosis. Endoscopy 1990; 22: 134-6.
Shim CS, Jung IS, Bhandari S, et al. Management of malignant strictures of the cervical esophagus with a newly designed self-expanding me- tal stent. Endoscopy 2004;36: 554-7.