Research Article

Esophageal Stenting in the Setting of Malignancy

Table 1

Indications and contraindications for stent use in esophageal obstruction due to malignancy.

Indications

Unresectable malignant esophageal obstruction
Extrinsic esophageal compression by primary or secondary mediastinal tumors
Actual or impending fistula
Malignant gastroesophageal anastomotic leaks
Tumor recurrence after surgery or chemoradiotherapy
Contraindication to chemoradiotherapy

Contraindications

Curable disease by multimodality treatment (relative)
Tumor or stricture within 2 cm of proximal esophageal sphincter
Uncorrectable coagulopathy
Potential for significant airway compression
Recent high-dose chemoradiotherapy (within 3–6 weeks)
Terminal ill patient with limited life expectancy

Sources: [5, 6].