Table of Contents
ISRN Gastroenterology
Volume 2011 (2011), Article ID 719575, 9 pages
http://dx.doi.org/10.5402/2011/719575
Research Article

Esophageal Stenting in the Setting of Malignancy

1St. Luke's Hospital and Health Network, Bethlehem, PA 18015, USA
2Surgical Oncology, Cancer Care Associates, St. Luke's Hospital and Health Network, 801 Ostrum Street, Bethlehem, PA 18015, USA

Received 23 May 2011; Accepted 15 June 2011

Academic Editors: Y. Chao and U. Klinge

Copyright © 2011 Juan Carlos Martinez et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Linked References

  1. M. Center, R. Siegel, and A. Jemal, Global Cancer Facts and Figures, American Cancer Society, 2nd edition, 2008.
  2. A. Jemal, R. Siegel, J. Xu, and E. Ward, “Cancer statistics, 2010,” CA Cancer Journal for Clinicians, vol. 60, no. 5, pp. 277–300, 2010. View at Publisher · View at Google Scholar · View at PubMed · View at Scopus
  3. T. L. Weigel, C. Frumiento, and E. Gaumintz, “Endoluminal palliation for dysphagia secondary to esophageal carcinoma,” Surgical Clinics of North America, vol. 82, no. 4, pp. 747–761, 2002. View at Publisher · View at Google Scholar · View at Scopus
  4. J. D. Brierley and A. M. Oza, “Radiation and chemotherapy in the management of malignant esophageal strictures,” Gastrointestinal Endoscopy Clinics of North America, vol. 8, no. 2, pp. 451–463, 1998. View at Google Scholar · View at Scopus
  5. K. Katsanos, T. Sabharwal, and A. Adam, “Stenting of the upper gastrointestinal tract: current status,” CardioVascular and Interventional Radiology, vol. 33, no. 4, pp. 690–705, 2010. View at Publisher · View at Google Scholar · View at PubMed
  6. M. O. Baerlocher, M. R. Asch, P. Dixon, P. Kortan, A. Myers, and C. Law, “Interdisciplinary Canadian guidelines on the use of metal stents in the gastrointestinal tract for oncological indications,” Canadian Association of Radiologists Journal, vol. 59, no. 3, pp. 107–122, 2008. View at Google Scholar · View at Scopus
  7. P. Sharma and R. Kozarek, “Role of esophageal stents in benign and malignant diseases,” American Journal of Gastroenterology, vol. 105, no. 2, pp. 258–273, 2010. View at Publisher · View at Google Scholar · View at PubMed · View at Scopus
  8. A. Cusumano, A. Ruol, A. Segalin et al., “Push-through intubation: effective palliation in 409 patients with cancer of the esophagus and cardia,” Annals of Thoracic Surgery, vol. 53, no. 6, pp. 1010–1014, 1992. View at Google Scholar · View at Scopus
  9. N. A. Christie, P. O. Buenaventura, H. C. Fernando et al., “Results of expandable metal stents for malignant esophageal obstruction in 100 patients: short-term and long-term follow-up,” Annals of Thoracic Surgery, vol. 71, no. 6, pp. 1797–1802, 2001. View at Publisher · View at Google Scholar · View at Scopus
  10. C. H. Parker and D. A. Peura, “Palliative treatment of esophageal carcinoma using esophageal dilation and prosthesis,” Gastroenterology Clinics of North America, vol. 20, no. 4, pp. 717–729, 1991. View at Google Scholar · View at Scopus
  11. R. Fugger, B. Niederle, H. Jantsch, R. Schiessel, and F. Schulz, “Endoscopic tube implantation for the palliation of malignant esophageal stenosis,” Endoscopy, vol. 22, no. 3, pp. 101–104, 1990. View at Google Scholar · View at Scopus
  12. D. Yakoub, R. Fahmy, T. Athanasiou et al., “Evidence-based choice of esophageal stent for the palliative management of malignant dysphagia,” World Journal of Surgery, vol. 32, no. 9, pp. 1996–2009, 2008. View at Publisher · View at Google Scholar · View at PubMed · View at Scopus
  13. K. Knyrim, H. J. Wagner, N. Bethge, M. Keymling, and N. Vakil, “A controlled trial of an expansile metal stent for palliation of esophageal obstruction due to inoperable cancer,” New England Journal of Medicine, vol. 329, no. 18, pp. 1302–1307, 1993. View at Publisher · View at Google Scholar · View at PubMed · View at Scopus
  14. P. D. Siersema, W. C.J. Hop, M. van Blankenstein, and J. Dees, “A new design metal stent (Flamingo stent) for palliation of malignant dysphagia: a prospective study. The Rotterdam Esophageal Tumor Study Group,” Gastrointestinal Endoscopy, vol. 51, no. 2, pp. 139–145, 2000. View at Google Scholar
  15. C. S. Shim, I. S. Jung, S. Bhandari et al., “Management of malignant strictures of the cervical esophagus with a newly-designed self-expanding metal stent,” Endoscopy, vol. 36, no. 6, pp. 554–557, 2004. View at Publisher · View at Google Scholar · View at PubMed · View at Scopus
  16. N. Vakil, A. I. Morris, N. Marcon et al., “A prospective, randomized, controlled trial of covered expandable metal stents in the palliation of malignant esophageal obstruction at the gastroesophageal junction,” American Journal of Gastroenterology, vol. 96, no. 6, pp. 1791–1796, 2001. View at Publisher · View at Google Scholar · View at Scopus
  17. D. Saranovic, A. Djuric-Stefanovic, A. Ivanovic, D. Masulovic, and P. Pesko, “Fluoroscopically guided insertion of self-expandable metal esophageal stents for palliative treatment of patients with malignant stenosis of esophagus and cardia: comparison of uncovered and covered stent types,” Diseases of the Esophagus, vol. 18, no. 4, pp. 230–238, 2005. View at Publisher · View at Google Scholar · View at PubMed · View at Scopus
  18. A. J. Dormann, P. Eisendrath, B. Wigginghaus, H. Huchzermeyer, and J. Devière, “Palliation of esophageal carcinoma with a new self-expanding plastic stent,” Endoscopy, vol. 35, no. 3, pp. 207–211, 2003. View at Publisher · View at Google Scholar · View at PubMed · View at Scopus
  19. R. Conigliaro, G. Battaglia, A. Repici et al., “Polyflex stents for malignant oesophageal and oesophagogastric stricture: a prospective, multicentric study,” European Journal of Gastroenterology and Hepatology, vol. 19, no. 3, pp. 195–203, 2007. View at Publisher · View at Google Scholar · View at PubMed · View at Scopus
  20. L. Szegedi, I. Gál, I. Kósa, and G. G. Kiss, “Palliative treatment of esophageal carcinoma with self-expanding plastic stents: a report on 69 cases,” European Journal of Gastroenterology and Hepatology, vol. 18, no. 11, pp. 1197–1201, 2006. View at Publisher · View at Google Scholar · View at PubMed · View at Scopus
  21. F. Tomaselli, A. Maier, O. Sankin, H. Pinter, J. Smolle, and F. M. Smolle-Jüttner, “Ultraflex stent-benefits and risks in ultimate palliation of advanced, malignant stenosis in the esophagus,” Hepato-Gastroenterology, vol. 51, no. 58, pp. 1021–1026, 2004. View at Google Scholar · View at Scopus
  22. C. D. Roseveare, P. Patel, N. Simmonds, P. M. Goggin, J. Kimble, and H. A. Shepherd, “Metal stents improve dysphagia, nutrition and survival in malignant oesophageal stenosis: a randomized controlled trial comparing modified Gianturco Z-stents with plastic Atkinson tubes,” European Journal of Gastroenterology and Hepatology, vol. 10, no. 8, pp. 653–657, 1998. View at Google Scholar · View at Scopus
  23. A. Eickhoff, M. Knoll, R. Jakobs et al., “Self-expanding metal stents versus plastic prostheses in the palliation of malignant dysphagia: long-term outcome of 153 consecutive patients,” Journal of Clinical Gastroenterology, vol. 39, no. 10, pp. 877–885, 2005. View at Publisher · View at Google Scholar · View at Scopus
  24. T. H. Baron, “A practical guide for choosing an expandable metal stent for GI malignancies: is a stent by any other name still a stent?” Gastrointestinal Endoscopy, vol. 54, no. 2, pp. 269–272, 2001. View at Google Scholar · View at Scopus
  25. P. D. Siersema, W. C. J. Hop, J. Dees, H. W. Tilanus, and M. van Blankenstein, “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, vol. 47, no. 2, pp. 113–120, 1998. View at Publisher · View at Google Scholar · View at Scopus
  26. M. I. Canto, C. Smith, L. McClelland et al., “Randomized trial of PDT vs stent for palliation of malignant dysphagia: cost effectiveness and quality of life,” Gastrointestinal Endoscopy, vol. 55, no. 5, p. 100, 2002. View at Google Scholar
  27. M. Y. V. Homs, E. W. Steyerberg, W. M. H. Eijkenboom et al., “Single-dose brachytherapy versus metal stent placement for the palliation of dysphagia from oesophageal cancer: multicentre randomised trial,” Lancet, vol. 364, no. 9444, pp. 1497–1504, 2004. View at Publisher · View at Google Scholar · View at PubMed · View at Scopus
  28. M. Y. V. Homs, P. J. Wahab, E. J. Kuipers et al., “Esophageal stents with antireflux valve for tumors of the distal esophagus and gastric cardia: a randomized trial,” Gastrointestinal Endoscopy, vol. 60, no. 5, pp. 695–702, 2004. View at Publisher · View at Google Scholar · View at Scopus
  29. H. Bergquist, U. Wenger, E. Johnsson et al., “Stent insertion or endoluminal brachytherapy as palliation of patients with advanced cancer of the esophagus and gastroesophageal junction. Results of a randomized, controlled clinical trial,” Diseases of the Esophagus, vol. 18, no. 3, pp. 131–139, 2005. View at Publisher · View at Google Scholar · View at PubMed · View at Scopus
  30. N. Bethge, K. Knyrim, H. J. Wagner, E. Starck, J. Pausch, and D. V. Kleist, “Self-Expanding metal stents for palliation of malignant esophageal obstruction—a pilot study of eight patients,” Endoscopy, vol. 24, no. 5, pp. 411–415, 1992. View at Google Scholar · View at Scopus
  31. T. Sabharwal, M. S. Hamady, S. Chui, S. Atkinson, R. Mason, and A. Adam, “A randomised prospective comparison of the Flamingo Wallstent and Ultraflex stent for palliation of dysphagia associated with lower third oesophageal carcinoma,” Gut, vol. 52, no. 7, pp. 922–926, 2003. View at Publisher · View at Google Scholar · View at Scopus
  32. P. D. Siersema, W. C. Hop, M. van Blankenstein et al., “A comparison of 3 types of covered metal stents for the palliation of patients with dysphagia caused by esophagogastric carcinoma: a prospective, randomized study,” Gastrointestinal Endoscopy, vol. 54, no. 2, pp. 145–153, 2001. View at Google Scholar · View at Scopus
  33. M. Bower, W. Jones, B. Vessels, C. Scoggins, and R. Martin, “Nutritional support with endoluminal stenting during neoadjuvant therapy for esophageal malignancy,” Annals of Surgical Oncology, vol. 16, no. 11, pp. 3161–3168, 2009. View at Publisher · View at Google Scholar · View at PubMed
  34. R. Martin, R. Duvall, S. Ellis, and C. R. Scoggins, “The use of self-expanding silicone stents in esophageal cancer care: optimal pre-, peri-, and postoperative care,” Surgical Endoscopy and Other Interventional Techniques, vol. 23, no. 3, pp. 615–621, 2009. View at Publisher · View at Google Scholar · View at PubMed · View at Scopus
  35. R. E. Brown, A. E. Abbas, S. Ellis et al., “A prospective phase II evaluation of esophageal stenting for neoadjuvant therapy for esophageal cancer: optimal performance and surgical safety,” Journal of the American College of Surgeons, vol. 212, no. 4, pp. 582–588, 2011. View at Publisher · View at Google Scholar · View at PubMed
  36. E. M. L. Verschuur, A. Repici, E. J. Kuipers, E. W. Steyerberg, and P. D. Siersema, “New design esophageal stents for the palliation of dysphagia from esophageal or gastric cardia cancer: a randomized trial,” American Journal of Gastroenterology, vol. 103, no. 2, pp. 304–312, 2008. View at Publisher · View at Google Scholar · View at PubMed · View at Scopus
  37. H. J. Dallal, G. D. Smith, D. C. Grieve, S. Ghosh, I. D. Penman, and K. R. Palmer, “A randomized trial of thermal ablative therapy versus expandable metal stents in the palliative treatment of patients with esophageal carcinoma,” Gastrointestinal Endoscopy, vol. 54, no. 5, pp. 549–557, 2001. View at Publisher · View at Google Scholar · View at Scopus
  38. A. A. R. Elsharkawy and A. A. El-Geidie, “Self-expanding metal stents in palliation of malignant dysphagia: outcome of 124 Egyptian patients,” European Archives of Oto-Rhino-Laryngology, vol. 267, no. 7, pp. 1123–1127, 2010. View at Publisher · View at Google Scholar · View at PubMed · View at Scopus
  39. G. Diamantis, M. Scarpa, P. Bocus et al., “Quality of life in patients with esophageal stenting for the palliation of malignant dysphagia,” World Journal of Gastroenterology, vol. 17, no. 2, pp. 144–150, 2011. View at Publisher · View at Google Scholar · View at PubMed
  40. T. Sabharwal, M. S. Gulati, N. Fotiadis et al., “Randomised comparison of the FerX Ella antireflux stent and the ultraflex stent: proton pump inhibitor combination for prevention of post-stent reflux in patients with esophageal carcinoma involving the esophago-gastric junction,” Journal of Gastroenterology and Hepatology, vol. 23, no. 5, pp. 723–728, 2008. View at Publisher · View at Google Scholar · View at PubMed · View at Scopus
  41. E. Johnson, T. Enden, H. J. Noreng et al., “Survival and complications after insertion of self-expandable metal stents for malignant oesophageal stenosis,” Scandinavian Journal of Gastroenterology, vol. 41, no. 3, pp. 252–256, 2006. View at Publisher · View at Google Scholar · View at PubMed · View at Scopus
  42. N. Homann, M. R. Noftz, R. D. Klingenberg-Noftz, and D. Ludwig, “Delayed complications after placement of self-expanding stents in malignant esophageal obstruction: treatment strategies and survival rate,” Digestive Diseases and Sciences, vol. 53, no. 2, pp. 334–340, 2008. View at Publisher · View at Google Scholar · View at PubMed · View at Scopus
  43. A. S. Lowe and M. B. Sheridan, “Esophageal stenting,” Seminars in Interventional Radiology, vol. 21, no. 3, pp. 157–166, 2004. View at Publisher · View at Google Scholar · View at PubMed · View at Scopus
  44. Wang M. Q., D. Y. Sze, Wang Z. P., Wang Z. Q., Gao Y. A., and M. D. Dake, “Delayed complications after esophageal stent placement for treatment of malignant esophageal obstructions and esophagorespiratory fistulas,” Journal of Vascular and Interventional Radiology, vol. 12, no. 4, pp. 465–474, 2001. View at Google Scholar
  45. T. H. Baron, “Expandable metal stents for the treatment of cancerous obstruction of the gastrointestinal tract,” New England Journal of Medicine, vol. 344, no. 22, pp. 1681–1687, 2001. View at Publisher · View at Google Scholar · View at PubMed · View at Scopus
  46. J. Shenfine, P. McNamee, N. Steen, J. Bond, and S. M. Griffin, “A pragmatic randomised controlled trial of the cost-effectiveness of palliative therapies for patients with inoperable oesophageal cancer,” Health Technology Assessment, vol. 9, no. 5, pp. 1–121, 2005. View at Google Scholar
  47. E. Therasse, V. L. Oliva, E. Lafontaine, P. Perreault, M.-F. Giroux, and G. Soulez, “Balloon dilation and stent placement for esophageal lesions: indications, methods, and results,” Radiographics, vol. 23, no. 1, pp. 89–105, 2003. View at Google Scholar
  48. A. Fischer, O. Thomusch, S. Benz, E. Von Dobschuetz, P. Baier, and U. T. Hopt, “Nonoperative treatment of 15 benign esophageal perforations with self-expandable covered metal stents,” Annals of Thoracic Surgery, vol. 81, no. 2, pp. 467–472, 2006. View at Publisher · View at Google Scholar · View at PubMed
  49. R. E. White, C. Mungatana, M. Topazian, and R. V. Rege, “Expandable stents for iatrogenic perforation of esophageal malignancies,” Journal of Gastrointestinal Surgery, vol. 7, no. 6, pp. 715–720, 2003. View at Publisher · View at Google Scholar
  50. G. E. Jung, P. Sauer, and A. Schaible, “Tracheoesophageal fistula following implantation of a biodegradable stent for a refractory benign esophageal stricture,” Endoscopy, vol. 42, supplement 2, pp. E338–E339, 2010. View at Publisher · View at Google Scholar · View at PubMed
  51. C. G. Schowengerdt, “Tracheoesophageal fistula caused by a self-expanding esophageal stent,” Annals of Thoracic Surgery, vol. 67, no. 3, pp. 830–831, 1999. View at Publisher · View at Google Scholar
  52. T. Nagahama, M. Maruyama, K. Kato et al., “Complication after self expandable metallic stent for esophageal cancer,” Gan To Kagaku Ryoho, vol. 30, no. 11, pp. 1750–1753, 2003. View at Google Scholar
  53. Y. Saito, T. Tanaka, A. Andoh et al., “Novel biodegradable stents for benign esophageal strictures following endoscopic submucosal dissection,” Digestive Diseases and Sciences, vol. 53, no. 2, pp. 330–333, 2008. View at Publisher · View at Google Scholar · View at PubMed
  54. A. Repici, F. P. Vleggaar, C. Hassan et al., “Efficacy and safety of biodegradable stents for refractory benign esophageal strictures: the BEST (Biodegradable Esophageal Stent) study,” Gastrointestinal Endoscopy, vol. 72, no. 5, pp. 927–934, 2010. View at Publisher · View at Google Scholar · View at PubMed
  55. M. Černá, M. Köcher, V. Válek et al., “Covered biodegradable stent: new therapeutic option for the management of esophageal perforation or anastomotic leak,” Cardiovascular and Interventional Radiology. In press. View at Publisher · View at Google Scholar · View at PubMed
  56. S. R. Jeon, S. H. Eun, C. S. Shim et al., “Effect of drug-eluting metal stents in benign esophageal stricture: an in vivo animal study,” Endoscopy, vol. 41, no. 5, pp. 449–456, 2009. View at Publisher · View at Google Scholar · View at PubMed
  57. L. Lei, X. Liu, S. Guo, M. Tang, L. Cheng, and L. Tian, “5-fluorouracil-loaded multilayered films for drug controlled releasing stent application: drug release, microstructure, and ex vivo permeation behaviors,” Journal of Controlled Release, vol. 146, no. 1, pp. 45–53, 2010. View at Publisher · View at Google Scholar · View at PubMed