Qureshi H, Ahmed W.
Use of Esophageal Self Expandable Metal Stents - The Local Experience.
J Pak Med Assoc Jan ;52(6):257-8.

Four biopsy proven cases of squamous cell carcinoma of the esophagus underwent placement of self-expandable metallic stents under topical anaesthesia or intravenous medazolam. There were 3 females and one male whose ages ranged from 30-70 years. All three females had carcinoma of the middle or upper esophagus. The male patient had a lower esophageal growth which was operated surgically (esophagectomy with gastroesophageal anastamosis) but later resulted in an anastamotic leak. The Endoscopic procedure was well tolerated by all the patients and no fluoroscopy or anesthesia was used. The patency of the esophageal lumen was confirmed by making the patient drink water soon after the endoscopy. In all three patients with esophageal growth, adequate lumen was obtained following placement of stent In the patient with anastamotic leak, the stent was unable to snug to the gastric end of the anastamosis therefore the gastric contents continued to leak from between the stent and the gastric mucosa. The stent was removed after a week and placed again to a slightly higher position but the problem persisted, therefore the stent was finally removed after 2 weeks without complications.

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