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Objectives: Household chemicals result in corrosive esophageal burns in the developing third world countries, and most of them cause esophageal strictures. There is no standard treatment for esophageal strictures. Here, we present our preliminary experience with intraluminal esophageal stents for stricture treatment. Methods: The files of the patients who had stenosis due to corrosive esophagitis in our clinic were evaluated retrospectively. Stricture lengths were between 30 and 130 mm. Stents were self-expandable, made of nitinol alloy that was covered with silicone, and they were cylindrical in shape with a conical tip. The lengths varied between 60 and 170 mm and the diameters were between 10-20 mm. The stent application was made under general anaesthesia. Results: There were seven patients (four girls and three boys). After stent application, all patients experienced constant or temporary pain, vomiting, and difficulty in swallowing. Bleeding occurred in one patient. Sudden death occurred in one patient, probably as a complication of chest infection. All stents had to be removed in mean 38 days because of embedding of the stent, development of granulation tissue and intolerance. Conclusion: More research is needed to determine the type, length and diameter of the stent, the timing and the duration of the application, the length and level of the stricture suitable for stent application and medications during treatment.
Purpose: The common consumption of corrosive substances in developing countries resulted in ozofagus density is a common condition and a standard treatment for density has not yet been found. In our study we presented our first experiences with the application of stent in the treatment of ozofagus contractions. Method: In our clinic, the files of patients who developed a narrowness due to corrosive ozofaith and who have been applied stent treatment were recurrently assessed. The length of the ozofagus thickness varied between 30 and 130 mm. The stents used were silicone-covered on the silindric nitinol alloy structure, upper end in artificial form, when placed, they were self-expanding and removable. Stent diamonds were 10-20 mm, and their heights were between 60-170 mm. In total, seven patients (4 girls, 7 men) participated in the study. Stentler was placed under general anesthesia. All post-stent patients experienced pain, vomiting, difficulty sweating and bleeding in a patient at different times. A patient was lost with a complication believed to be associated with lung infection while stented. Stentles were forced to be removed within 38 days for reasons such as tolerance problems (granification tissue formation, stentine beginnings). It was observed that patients had granulation in the ozofagus mucosa, which did not provide precise healing but a narrow lumen appeared. Discussions: In our clinical application, stenent therapy has not provided permanent benefits. What type, length and diameter of stentine is needed, how long it will be applied, how long it will remain, what length and density of the stent is suitable for treatment, and what medical treatments will be useful when applied together. (SETB-2018-07-094)
Field : Sağlık Bilimleri
Journal Type : Ulusal
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