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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.1
- 수록면
- 47 - 54 (8page)
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초록· 키워드
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Background/Aims: Self-expandable metallic stent (SEMS) placement is effective for dysphagia that results from malignant obstruction of the esophagus or gastric cardia; however, stent-related complications may be life-threatening. Thus, the goal of this study was to identify risk factors associated with complications following esophageal stenting. Methods: Of the 71 patients who underwent SEMS placement for dysphagia as a result of malignant stricture of the esophagus or gastric cardia, 53 patients with squamous cell carcinoma or adenocarcinoma, without previous SEMS placement, without a fistula, and without recurrent tumor after surgery were retrospectively identified. The occurrence of stent-related complications was used as an endpoint. Results: Stentrelated complications were identified in 26 patients (49.1%), and major complications occurred in 14 patients (26.4%).
The use of an Ultraflex stent (odds ratio [OR], 6.81; 95% confidence interval [CI], 1.54 to 30.00; p=0.011) and prior chemotherapy (OR, 6.13; 95% CI, 1.46 to 25.70; p=0.013) were significantly associated with stent-related complications.
Moreover, the use of an Ultraflex stent (OR, 19.60; 95% CI, 2.26 to 170.00; p=0.007) and prior radiation (OR, 25.70; 95% CI, 2.37 to 280.00; p=0.008) significantly increased the risk of major complications. Conclusions: The use of an Ultraflex stent and prior radiation and/or chemotherapy may represent risk factors for complications following esophageal SEMS placement.
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등록된 정보가 없습니다.
참고문헌 (21)
참고문헌 신청
Allum WH / 2011 / Guidelines for the management of oesophageal and gastric cancer / Gut 60 : 1449 ~ 1472
Conio
Cwikiel M / 1996 / Palliation of dysphagia in patients with malignant esophageal strictures. Comparison of results of radiotherapy, chemotherapy and esophageal stent treatmen
Dai Y / 2014 / Interventions for dysphagia in oesophageal cancer / Cochrane Database Syst Rev (10) : CD005048 ~
Fuccio L / 2016 / Development of a prediction model of adverse events after stent placement for esophageal cancer / Gastrointest Endosc 83 : 746 ~ 752
Conio
Cwikiel M / 1996 / Palliation of dysphagia in patients with malignant esophageal strictures. Comparison of results of radiotherapy, chemotherapy and esophageal stent treatmen
Dai Y / 2014 / Interventions for dysphagia in oesophageal cancer / Cochrane Database Syst Rev (10) : CD005048 ~
Fuccio L / 2016 / Development of a prediction model of adverse events after stent placement for esophageal cancer / Gastrointest Endosc 83 : 746 ~ 752
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