Treatment of refractory post-esophagectomy anastomotic esophageal strictures using temporary fully covered esophageal metal stenting compared to repeated bougie dilation: results of a randomized controlled trial.

التفاصيل البيبلوغرافية
العنوان:	Treatment of refractory post-esophagectomy anastomotic esophageal strictures using temporary fully covered esophageal metal stenting compared to repeated bougie dilation: results of a randomized controlled trial.
المؤلفون:	Kappelle WF; University Medical Center Utrecht, Utrecht, The Netherlands., van Hooft JE; Academic Medical Center, Amsterdam, The Netherlands., Spaander MCW; Erasmus University Medical Center, Rotterdam, The Netherlands., Vleggaar FP; University Medical Center Utrecht, Utrecht, The Netherlands., Bruno MJ; Erasmus University Medical Center, Rotterdam, The Netherlands., Maluf-Filho F; Instituto do Cancer do Estado de Sao Paulo, Sao Paulo, Brazil., Bogte A; University Medical Center Utrecht, Utrecht, The Netherlands., van Halsema E; Academic Medical Center, Amsterdam, The Netherlands., Siersema PD; University Medical Center Utrecht, Utrecht, The Netherlands.; Radboud University Medical Center, Nijmegen, The Netherlands.
المصدر:	Endoscopy international open [Endosc Int Open] 2019 Feb; Vol. 7 (2), pp. E178-E185. Date of Electronic Publication: 2019 Jan 18.
نوع المنشور:	Journal Article
اللغة:	English
بيانات الدورية:	Publisher: Georg Thieme Verlag KG Country of Publication: Germany NLM ID: 101639919 Publication Model: Print-Electronic Cited Medium: Print ISSN: 2364-3722 (Print) Linking ISSN: 21969736 NLM ISO Abbreviation: Endosc Int Open Subsets: PubMed not MEDLINE
أسماء مطبوعة:	Original Publication: Stuttgart : Georg Thieme Verlag KG, [2013]-
مستخلص:	Background and study aims Fully covered self-expanding metal stents (FCSEMS) provide an alternative to bougie dilation (BD) for refractory benign esophageal strictures. Controlled studies comparing temporary placement of FCSES to repeated BD are not available. Patients and methods Patients with refractory anastomotic esophageal strictures, dysphagia scores ≥ 2, and two to five prior BD were randomized to 8 weeks of FCSEMS or to repeated BD. The primary endpoint was the number of BD during the 12 months after baseline treatment. Results Eighteen patients were included (male 67 %, median age 66.5; 9 received metal stents, 9 received BD). Technical success rate of stent placement and stent removal was 100 %. Recurrent dysphagia occurred in 13 patients (72 %) during follow-up. No significant difference was found between the stent and BD groups for mean number of BD during follow-up (5.4 vs. 2.4, P = 0.159), time to recurrent dysphagia (median 36 days vs. 33 days, Kaplan-Meier: P = 0.576) and frequency of reinterventions per month (median 0.3 vs. 0.2, P = 0.283). Improvement in quality of life score was greater in the stent group compared to the BD group at month 12 (median 26 % vs. 4 %, P = 0.011). Conclusions The current data did not provide evidence for a statistically significant difference between the two groups in the number of BD during the 12 months after initial treatment. Metal stenting offers greater improvement in quality of life from baseline at 12 months compared to repeated BD for patients with refractory anastomotic esophageal strictures.
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تواريخ الأحداث:	Date Created: 20190202 Latest Revision: 20201001
رمز التحديث:	20240829
مُعرف محوري في PubMed:	PMC6338544
DOI:	10.1055/a-0777-1856
PMID:	30705950
قاعدة البيانات:	MEDLINE

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تدمد:	2364-3722
DOI:	10.1055/a-0777-1856