Metallic expandable stents in the management of malignant tracheal stenosis due to esophageal cancer with lymph node metastasis

Peng,Zhaohong; Xu,Shengde; Li,Hua; Sun,Chaobin; Fu,Minyan

doi:10.3892/ol.2013.1588

November 2013 Volume 6 Issue 5

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November 2013 Volume 6 Issue 5

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Article

Metallic expandable stents in the management of malignant tracheal stenosis due to esophageal cancer with lymph node metastasis

Authors:
- Zhaohong Peng
- Shengde Xu
- Hua Li
- Chaobin Sun
- Minyan Fu
View Affiliations / Copyright

Affiliations: Department of Interventional Radiology, Bin Hu Hospital of Hefei, Hefei, Anhui 230000, P.R. China, Department of Interventional Radiology, The Third Affiliated Hospital of Anhui Medical University, Hefei, Anhui 230000, P.R. China
Pages: 1461-1464
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Published online on: September 17, 2013

https://doi.org/10.3892/ol.2013.1588
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Abstract

Esophageal cancer with post‑operative lymph node metastasis (LNM) compressing and infiltrating the trachea causing dyspnea is considered a serious complication. However, chemotherapy or radiotherapy are often ineffective methods for such patients. Approaches employing metallic expandable stents to relieve airway obstruction are extremely effective in advanced‑stage cancer patients. The present study reports the use of metallic expandable stents as a treatment for tracheal stenosis. A total of 11 patients with tracheal stenosis due to LNM compressing and infiltrating the trachea were selected between November 2009 and January 2013. All the patients were diagnosed by computed tomography and presented with varying degrees of dyspnea. A total of 13 stents were placed in 11 patients, without significant intraoperative complications. Post‑operatively, all patients presented with significant improvement in respiratory function. The Borg score was determined 1 day after stent application. The mean score of dyspnea declined significantly from 7.0 to 0.9 (P<0.01), the mean heart rate decreased from 128 to 86 bpm (P<0.01), the mean respiratory rate decreased from 34 to 23 breaths/min (P<0.01) and the mean oxygen saturation increased from 85 to 97% (P<0.01). Complications included coughing, hemorrhage, chest pain, retention of secretions, halitosis and tumor regrowth. It may be concluded that metallic expandable stent placement is an effective strategy to palliate malignant tracheal stenosis.

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Journals

International Journal of Molecular Medicine

International Journal of Oncology

Molecular Medicine Reports

Oncology Reports

Experimental and Therapeutic Medicine

Oncology Letters

Biomedical Reports

Molecular and Clinical Oncology

World Academy of Sciences Journal

International Journal of Functional Nutrition

International Journal of Epigenetics

Medicine International

Metallic expandable stents in the management of malignant tracheal stenosis due to esophageal cancer with lymph node metastasis

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Abstract

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