THE ROLE OF ENDOSCOPIC STENTING IN ESOPHAGEAL CANCER COMPLICATED BY FISTULA
Keywords:
esophageal cancer, complication, fistula, stenting, stent, gastrostomy, endoscope, morphological variants.Abstract
The results of treatment of 9 patients with cancer of the middle and lower third of the esophagus in stages III-IV (T3 - 4bN2M0-1) with complicated esophageal-tracheal and esophageal-bronchial fistula at the time of treatment were analyzed.Most patients were found not resectable, due to the prevalence of the tumor process. The study of morphological variants of the tumor showed: that 58.7% (28) of the patients had adenocarcinoma and 41.3% (20) had squamous cell carcinoma.
With the introduction of endoscopic methods of treatment into clinical practice, the appearance of self-expanding esophageal stents for the elimination of fistulas and dysphagia became the operations of choice. All patients underwent recanalization and self-expanding stents of the company (FLEXTENT) were installed.
According to our study, out of 9 patients, men made up 6 (66.6%), and women – 3 (33.4%), the average age was 65-70 years.
The study of the location of the tumor process on the esophagus showed that more than half of the cancer process is localized in the middle and lower.
References
Двойрин В. В., Аксель Е. М., Трапезников Н. Н. Заболеваемость злокачественными новообразованиями и смертность от них населения стран СНГ- М., 1996. -С. 275.
Дулганов К. П., Перимов А. П., Дулганов В. К. Результаты лечения рака пищевода // Тез. докл. Рос. науч. конф. «Комбинированная и комплексная терапия злокачественных новообразований органов дыхания и пищеварительного тракта», г. Москва, 1996 г. -С. 50-51.
Стилиди И. С., Бохян В. Ю., Тер3Ованесов М. Д. Результаты и перспективы хирургического лечения больных раком грудного отдела пищевода // Практ. онкол. - 2003. - Т. 4, №2. -С. 70-75.
Стилиди И. С., Давыдов М. И. Возможности хирургического метода лечения больных со злокачественной пищеводной фистулой //Тез. докл. IV Росс. онкол. конф., г. Москва, 21-23 ноября 2000 г. -С. 65-67.
Burt M., Diebl W., Martini N. et. al. Malignant esophageal fistula: management option and survival // Ann. Thorac. Surg. - 1991. -Vol. 52.-P. 1222-1228.
Campion J., Bourdelat D., Launois B. Surgical treatment of malignant esophagotracheal fistulas // Amer. J. Surg. -1983. -Vol. 146, N 5. -P. 641-646.
Saitoh Y., Umemoto M., Yamanaka E. et al. Combined lung resection for advanced thoracic esophageal carcinoma // Nippon Kyobu Geka Gakkai Zasshi. -1995. - Vol. 43, N 4. -P. 527-532.
Stilidi I., Davydov M., Bokbyan V. et al. Subtotal esophagectomy with extended 2_field lymph node dissection for thoracic esophageal cancer // Eur. J. Cardiothorac. Surg. -2003. - Vol. 23. -P. 415-420.
Rizaev J.A, Rahimov N.M., Kadirov X.X., Shaxanova Sh.Sh. (2023). Oncoepidemiological assessment of the incidence and mortality of prostate cancer for the period 2015-2020 in the cross section of the republic of uzbekistan and individual regions. Open Access Repository, 4(3), 1108–1113. https://doi.org/10.17605/OSF.IO/J3KWB
Shakhanova Sh. Shakhnoza, Rakhimov M. Nodir. Aspects of sarcopenia syndrome in oncological practice: diagnosis and treatment (literature review) // Journal of Biomedicine and Practice. 2023, vol. 8, issue 3, pp. 406-417
Maksudov Dilshod D., Musurmanov Fazliddin I. et al. "Development of a Comprehensive Programme for the Comprehensive Treatment of Patients with Maxillofacial Phlegmon with Viral Hepatitis B." JournalNX, vol. 7, no. 02, 2021, pp. 191-198.
Rakhimov M. Nodir, Khudayberdiyeva A. Shohista, Oripova R. Mehriniso, Shakhanova Sh. Shakhnoza. Practical recommendations forNutritional support for cervical cancer// Journal of Biomedicine and Practice. 2023, vol. 8, issue 2,pp.224-230
NickolasJB., GlennKB., SubarD., atal. Outcomes Following Oesophageal Stent Insertion for Palliation of Malignant Strictures: A Large Single Centre Series. // Journal of Surgical Oncology.2012.V.105. P. 60–65.
Sreedharman A., Harris K., Crellin A., at al. Interventions for dysphagia in oesophageal cancer. // Cochrane Database Syst Rev. 2011. 16;(2): CD005048.
Turkyilmaz A, Erogly A, Kurt A, at al. Complications of metallic stent placement in malignant esophageal stricture and their management// Surg.Laparosc.Endosc.Percetan.Tech., 2010; 20(1):10-5.
Tership Т. Stenting in gastrointestinal tract / T. Tership // Litohography. - 2005.
