Esophageal self-expandable metal stent placement for the palliation of dysphagia due to lung cancer

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dc.authoridkaramustafaoglu, yekta altemur/0000-0002-5491-1219
dc.authoridYANIK, FAZLI/0000-0002-8931-5329
dc.authoridYORUK, YENER/0000-0001-6309-3054
dc.authorwosidYanık, Fazlı/W-4597-2017
dc.authorwosidkaramustafaoglu, yekta altemur/S-9512-2019
dc.contributor.authorYanik, Fazli
dc.contributor.authorKaramustafaoglu, Yekta Altemur
dc.contributor.authorYoruk, Yener
dc.date.accessioned2024-06-12T10:59:56Z
dc.date.available2024-06-12T10:59:56Z
dc.date.issued2019
dc.departmentTrakya Üniversitesien_US
dc.description.abstractBackground: This study aims to report our experience with esophageal self-expendable metal stents for the palliation of malignant dysphagia and tracheoesophageal fistulas caused by lung cancer. Methods: Esophageal self-expandable metal stents were deployed in 56 patients (55 males, 1 female; mean age 63.5 years; range, 42 to 79 years) with malignant dysphagia due to lung cancer between August 2002 and May 2018. Of the patients, 34 had received previous chemoradiotherapy, eight only chemotherapy, and three only radiotherapy, while four had pneumonectomy. Tracheoesophageal fistula was coexisting in 12 patients (21%). Stents were inserted under fluoroscopic control over guide-wire in 28 patients and under flexible endoscopic control in the remaining 28 patients. One stent was used in all patients, except two patients with tracheoesophageal fistula, one patient who had an external compression causing downward migration of stent, and two patients who had tumor progression. Results: Dysphagia improved in all patients after stent insertion. Tracheoesophageal fistula was sealed off in all patients. All patients remained asymptomatic without dysphagia symptoms during the follow-up period except for two patients who underwent gastrostomy. All patients with tracheoesophageal fistula died. Their mean duration of survival was 2.8 months. Of the patients with tracheoesophageal fistula, one died of mediastinitis, one died of esophageal perforation, while the others died of cancer-related reasons. Of the dysphagia patients without tracheoesophageal fistula, all died except for two patients. Mean duration of survival in this group was 4.3 months. Conclusion: Dysphagia in lung cancer may have many underlying reasons. Self-expandable metal stents may provide satisfactory relief of dysphagia symptoms with minimal morbidity after a single procedure in patients with limited lifespan.en_US
dc.identifier.doi10.5606/tgkdc.dergisi.2019.16755
dc.identifier.endpage92en_US
dc.identifier.issn1301-5680
dc.identifier.issue1en_US
dc.identifier.pmid32082832en_US
dc.identifier.scopus2-s2.0-85065013411en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage88en_US
dc.identifier.trdizinid338522en_US
dc.identifier.urihttps://doi.org/10.5606/tgkdc.dergisi.2019.16755
dc.identifier.urihttps://search.trdizin.gov.tr/yayin/detay/338522
dc.identifier.urihttps://hdl.handle.net/20.500.14551/20637
dc.identifier.volume27en_US
dc.identifier.wosWOS:000455260600013en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakTR-Dizinen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherBaycinar Medical Publ-Baycinar Tibbi Yayinciliken_US
dc.relation.ispartofTurk Gogus Kalp Damar Cerrahisi Dergisi-Turkish Journal Of Thoracic And Cardiovascular Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectDysphagiaen_US
dc.subjectEsophageal Stentsen_US
dc.subjectLung Canceren_US
dc.subjectInsertionen_US
dc.subjectObstructionen_US
dc.subjectExperienceen_US
dc.subjectCarcinomaen_US
dc.titleEsophageal self-expandable metal stent placement for the palliation of dysphagia due to lung canceren_US
dc.typeArticleen_US

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