Watt SK, Sánchez CA

Idioma: Español
Referencias bibliográficas: 31
Paginas: 255-262
Archivo PDF: 726.51 Kb.

RESUMEN

El stent metálico autoexpandible es un dispositivo utilizado para el tratamiento de pacientes con obstrucción esofágica y de la unión gastro esofágica causada por malignidad. El objetivo de este tratamiento paliativo es lograr que los pacientes, restablezcan su habilidad de comer. El objetivo de esta investigación es revisar los resultados de la utilización de este tratamiento en el Hospital Max Peralta de Cartago. Hemos realizado un estudio retrospectivo sobre la experiencia en el Centro de Detección Temprana de Cáncer Gástrico. El estudio fue enfocado en el tratamiento endoscópico de 19 pacientes con cáncer esofágico y de la unión gastro esofágica. La información fue recolectada mediante diversos recursos incluyendo: expedientes clínicos, reporte de procedimientos endoscópicos, reportes radiológicos y cuestionario realizado vía telefónica a los pacientes o miembros de la familia. Los resultados observados fueron que la mayoría de los pacientes lograron mejorar su habilidad para ingerir alimentos blandos y sólidos en las próximas 24 horas de realizado el procedimiento. En conclusión el stent metálico auto expandible es un método paliativo, efectivo y seguro para el tratamiento del cáncer esofágico y de la unión gastro esofágico en estados avanzados.

REFERENCIAS (EN ESTE ARTÍCULO)

1. Adler D, Baron T. Endoscopic Palliation of Malignant Gastric Outlet Obstruction Using Self-Expanding Metal Stents: Experience in 36 Patients. The American Journal of Gastroenterology 2002 Vol 97

2. Aymaz S, Dormann A. A new approach to endoscopic treatment of tumors of the esophagogastric junction with individually designed self-expanding metal stents. World J Gastroenterology 2008 june 28; 14 (24): 3919-3921

3. Bethge N, Sommer A, Von Kleist D et al. A prospective trial of selfexpanding metal stents in the palliation of malignant esophageal obstruction after failure of primary curative therapy. Gastrointestinal Endoscopy 1996 vol44: 283-286

4. Blot WJ, Devea SS, Fraumeni JF Jr. Continuing climb in rates of esophageal adecarcinoma: JAMA 1993; 270:1320

5. Burstow M, Kelly T, Panchani S et al. Outcome of palliative esophageal stenting for malignant dysphagia: a retrospective analysis. Diseases of the Esophagus 2009 22, 519-525

6. Buscaglia J, Jayaraman V, Nagula S. Temporary use of a new fully-covered self-expanding metal stent for the management of post-esophagectomy strictures. Digestive Endoscopy 2011 23, 187-189

7. Castaño R, Ruiz M, Juliano F et al. Eficacia de un nuevo stent de nitinol fabricado localmente, en el tratamiento de la obstrucción maligna esofágica. Hospital Universitario San Vicente de Paul y el Hospital Pablo Tobon Uribe de Medellin-Colombia 1999-2002

8. Chopita N, Landoni N, Ross A et al. Malignant gastroenteric obstruction: therapeutic options. Gastrointestinal Endoscopy Clinics of North America 2007 17 533-544

9. Conio M, Blanchi S, Filiberti R et al. Self – expanding plastic stent to palliate symptomatic tissue in/overgrowth after self – expanding metal stent placement for esophageal cancer. Disease of the Esofagus 2010 23, 590-596

10. Conio M, Repici A, Battaglia G et al. A randomized prospective comparison of self.expandable plastic stents and partially covered self-expandable metal stents in the palliation of malignant esophageal dysphagia. American Journal of Gastroenterology 2007; 102:2667- 2677

11. Devesa SS, Blot WJ, Fraumeni JF Jr. Changing patterns in the incidence of esophageal and gastric carcinoma in the United States. Cancer 1998; 83: 2049- 2053

12. Eickhoff A, Knoll M, Jakobs R et al. selfexpanding metal stents versus plastic prostheses in the palliation of malignant dysphagia long-term outcome ofcome of 153 consecutive patients. J Clin Gastroenterol 2005; 39: 877-885

13. Ellul J, Watkinson A, Khan R et al. Self-expanding metal stents for the palliation of dysphagia due to inoperable oesophageal carcinoma. British Journal of Surgery 1995, 82, 1678-1681

14. Garcia J, Sanchez N, Viñuela M et al. Tratamiento paliativo de la obstrucción tumoral del vaciamiento gástrico con prótesis metalicas autoexpandibles insertadas endoscópicamente. Sección de aparato digestivo. Hospital Virgen de la Luz. Cuenca

15. Homann N, Noftz M, Klingenberg R et al. Delayed complications after placement of self-expanding stents in malignant esophageal obstruction: treatment strategies and survival rate. Dig Dis Sci 2008 53: 334-340

16. Jun J, Chan Y, Kyung B et al. Long-term clinical outcomes of self-expanding metal stents for treatment of malignant gastroesophageal junction obstructions and prognostic factors for stent patency: effects of anticancer treatments. Digestive and Liver Disease 2010 42 436-440

17. Keller R, Flieger D, Fischbach W et al. Self-expanding metal stents for malignant esophagogastric obstruction: experience with a new design covered nitinol stent. Journal Gastrointestinal Liver Diseases 2007 16, 239-243

18. K-H D, Tong S, Law K et al. The use of self-expanding metallic stents (SEMS) is effective in symptom palliation from recurrent tumor after esophagogastrectomy for cancer. Diseases of the Esophagus 2010 23, 660- 665

19. Knyrim K, Joachim H, Bethge N et al. A controlled trial of an expansile metal stent for palliation of esophageal obstruction due to inoperable cancer. The New England Journal of Medicine 1993;329: 1302-1307

20. Kubba AK, Krasner N. An update in the palliative management of malignant dysphagia. Eur J Surg Oncol 2000; 26:1 116-29

21. Kulwinder S. Stents for palliating malignant dysphagia and fistula: is the paradigm shifting?. Gastrointestinal Endoscopy Journal 2007 65: 77-81

22. Lee J, Hsu R, Leung J. Are Self – Expanding Metal mesh stents useful in the treatment of benign esophageal stenoses and fistulas? An experience of four cases. The American Journal of Gastroenterology 2000 Vol 95

23. Pil J, Mook J, Gyun S et al. Clinical outcomes and patency of self-expanding metal stents in patients with malignant upper gastrointestinal obstruction. Dig Dis Sci 2008 53: 938-945

24. Schoppmeyer K, Golsong J, Schiefke I et al. Antireflux stents for palliation of malignant esophagocardial stenosis. Diseases of the Esophagus 2007 20, 89- 93

25. Sgourakis G, Gockel I, Karaliotas C et al. Survival after chemotherapy and/ or radiotherapy versus self-expanding metal stent insertion in the setting of inoperable esophageal cancer: a casecontrol study. Sgourakis et al. BMC Cancer 2012, 12:70

26. Sgourakis G, Gockel I, Radtke A et al. The use of self-expanding stent in esophageal and gastroesophageal junction cancer palliation: a meta-analysis and metaregression analysis of outcomes. Dig Dis Sci 2010 55:3018-3030

27. Siersema P, Hop W, Dees J et al. Coated self-expanding metal stents versus latex prostheses for esophagogastric cancer with special reference to prior radiation and chemotherapy: a controlled, prospective study. Gastrointestinal Endoscopy 1998 Vol 42 113-120

28. Siersema P, Schrauwen S, Van Blankenstein et al. Self-expanding metal stents for complicated and recurrent esophagogastric cancer. Gastrointestinal Endoscopy 2001 vol 54 579-586

29. Turkyilmaz A, Eroglu A, Aydin Y et al. The management of esophagogastric anastomotic leak after esophagectomy for esophageal carcinoma. Diseases of the Esophagus 2009 22, 119-126

30. www.bostonscientific-international.com

31. www.endo-flex.de