OBJECTIVE: Esophagorespiratory @entity292 , especially in the upper third of the esophagus, are a complication of @entity5 , which are difficult to manage. The efficacy of @entity2636 -covered, self-expanding metal stents for palliation of @entity5 was investigated prospectively. METHODS: Eleven @entity1 with @entity5 resp. perforations were treated with Gianturco-Z stents. In five @entity1 the lesion was located in the proximal part of the esophagus. Because of the @entity292 all @entity1 suffered from @entity1282 even for liquids. RESULTS: No technical problems during the implantation procedure of the stents occurred. In the control radiography with water-soluble contrast media, the @entity292 were completely sealed in 10 of 11 @entity1 . Therefore the @entity1282 score improved from 3.0 to 0.6. Nearly all Gianturco-Z stents (10/11) showed a sufficient expansion within 24 h after placement. Severe early or late complications were not encountered, with the exception of @entity5 overgrowth in one @entity1 about 9 months after stent placement. In five @entity1 , short term (3-6 days) @entity158 was observed, and one @entity1 complained of slight foreign body sensation. By August 1997 all 11 @entity1 had died of advanced disease, with a median survival time of 121 days (range, 22-300 days). CONCLUSIONS: Gianturco-Z stents are highly effective for palliative treatment of @entity292 resp. perforations and have a low complication rate. Due to the fact that this stent shows no retraction during the release, a precise positioning is possible, especially in the case of @entity5 and @entity292 in the upper third of the esophagus. It seems that use of the Gianturco-Z stent can be considered a good therapeutic method for palliative endoscopic treatment of this high risk @entity1 group.

Palliative treatment of XXXX with Gianturco-Z stents. A prospective clinical trial and review of the literature on covered metal stents.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity5 :: ('MESH:D009369', 'Disease') :: ['tumor', 'malignant esophageal tumors', 'malignant esophagorespiratory fistulas', 'tumors'] @entity292 :: ('MESH:D005402', 'Disease') :: ['esophagorespiratory fistula', 'fistula', 'fistulas'] @entity1282 :: ('MESH:D003680', 'Disease') :: ['dysphagia'] @entity158 :: ('MESH:D010146', 'Disease') :: ['retrosternal pain'] @entity2636 :: ('MESH:D011140', 'Chemical') :: ['polyurethane']
@entity5 :: (MESH:D009369,Disease) :: ['malignant esophagorespiratory fistulas']
