Evaluation of stent applications for upper gastrointestinal disorders
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Tarih
2024
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Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Aim: Gastrointestinal stents are predominantly used for palliating malignant dysphagia in patients with esophageal cancer when surgical intervention is deemed inappropriate. This research aims to elucidate the diagnostic and follow-up processes of patients who underwent stent placement for upper gastrointestinal system pathologies at our clinic. Materials and Methods: A retrospective analysis assessed 61 patients who received stents for upper gastrointestinal tract stenosis due to various causes. Patient demographics, including age and gender, underlying pathology, benign-malignant status, location of the pathology, prior surgical or bougie dilation interventions, post-stent survival status, and, if applicable, the duration between the procedure and decease, were evaluated. Patient health records were accessed from the hospital’s electronic medical database. Results: Pre-stent bougie dilation was performed in 26.2% (n=16) of patients, while pre-stent surgery was undertaken in 41% (n=25). Repeat stenting was necessitated in 6.6% (n=4) of cases. Of the patients, 86.9% (n=53) succumbed to their condition, while 13.1% (n=8) survived. Post-stent survival times for deceased patients after stent surgery ranged from 0 to 55 months, with a median survival time of two months. Surviving patients exhibited varied post-stent durations between 65 and 122 months, with a mean stent utilization period of 101 months. A statistically significant correlation was observed between pre-stent surgery and survival status, indicating a higher surgery rate in patients who survived than those who did not (p<0.05). Conclusion: Consequently, due to its cost-effectiveness, stents can be a viable alternative to surgery for both benign and malignant gastrointestinal disorders. This is attributed to its notable advantages, including flexibility and high resistance.
Açıklama
Anahtar Kelimeler
Kaynak
Annals of Medical Research
WoS Q Değeri
Scopus Q Değeri
Cilt
31
Sayı
1
