Advanced oesophageal cancer treated with endoscopic stent insertion: A case report

Authors

  • M Tun Department of General Surgery, Limpopo Academic Complex and School of Medicine, University of Limpopo, Polokwane, South Africa
  • T Gvilia Department of General Surgery, Limpopo Academic Complex and School of Medicine, University of Limpopo, Polokwane, South Africa

DOI:

https://doi.org/10.7196/SAMJ.2022.v112i11b.16836

Keywords:

Cancer

Abstract

The majority of oesophageal cancers are squamous cell carcinomas. They have a poor prognosis. Dysphagia is regarded as the most
distressing symptom of oesophageal cancer, with a profound impact on quality of life. Insertion of a self-expanding metal stent (SEMS) is
one of the most effective ways to relieve dysphagia. We present a case of advanced oesophageal cancer in which a SEMS was inserted using a modified endoscopic technique.

References

Jobe BA, Hunter JG, Watson DI. Esophagus and diaphragmatic hernia. In: Brunicardi FC, Andersen DK, Billiar TR, et al., eds. Shwartz’s Principles of Surgery. 11th ed. New York: McGraw-Hill, 2019: chapt 2.

Adamson D, Blazeby J, Nelson A, et al. Palliative radiotherapy in addition to self-expanding metal stent for improving dysphagia and survival in advanced oesophageal cancer (ROCS: Radiotherapy after Oesophageal Cancer Stenting): Study protocol for a randomized controlled trial. Trials 2014;15:402. https://doi.org/10.1186/1745-6215-15-402

O’Hanlon DM, Callanan K, Karat D, Crisp W, Griffin SM. Outcome, survival, and costs in patients undergoing intubation for carcinoma of the esophagus. Am J Surg 1997;174(3):316- 319. https://doi.org/10.1016/s0002-9610(97)00104-9

Watkinson AF, Ellul J, Entwistle K, Mason RC, Adam A. Esophageal carcinoma: Initial results of palliative treatment with covered self-expanding endoprostheses. Radiology 1995;195(3):821-827. https://doi.org/10.1148/ radiology.195.3.7538682

Sreedharan A, Harris K, Crellin A, Forman D, Everett SM. Interventions for dysphagia in esophageal cancer. Cochrane Database Syst Rev 2009, Issue 4. Art. No.: CD005048. https://doi. org/10.1002/14651858.CD005048.pub2

Hindy P, Hong J, Lam-Tsai Y, Gress F. A comprehensive review of esophageal stents. Gastroenterol Hepatol (N Y) 2012;8(8):526-534.

Martinez JC, Puc MM, Quiros RM. Esophageal stenting in the setting of malignancy. ISRN Gastroenterol 2011;2011:719575. https://doi.org/10.5402/2011/719575

Baron TH. Expandable metal stents for the treatment of cancerous obstruction of the gastrointestinal tract. N Engl J Med 2001;344(22):1681-1687. https://doi.org/10.1056/NEJM200105313442206

Talukdar R. Complications of ERCP. Best Pract Res Clin Gastroenterol 2016;30(5):793-805. https:// doi.org/10.1016/j.bpg.2016.10.007

Tse F, Yuan Y, Moayyedi P, Leontiadis GI. Guidewire-assisted cannulation of the common bile duct for the prevention of post-endoscopic retrograde cholangiopancreatography (ERCP) pancreatitis. Cochrane Database Syst Rev 2022, Issue 3. Art. No.: CD009662. https://doi.org/10.1002/14651858

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Published

2022-11-17

How to Cite

1.
Tun M, Gvilia T. Advanced oesophageal cancer treated with endoscopic stent insertion: A case report. S Afr Med J [Internet]. 2022 Nov. 17 [cited 2025 Apr. 29];112(11b):915-7. Available from: https://samajournals.co.za/index.php/samj/article/view/470

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