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Is fluoroscopy really necessary to insert “ Self Expandable Metallic Stent” to palliation of malignant stricture of esophagus. De Moura,EGH; Barrichello SA; Sakai P. Gastrointestinal Endoscopy Unit of Gastroenterology of São Paulo University Medical School, Brazil. - PowerPoint PPT Presentation
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Is fluoroscopy really necessary to insert “ Self Expandable Metallic Stent” to palliation of malignant stricture of esophagus.De Moura,EGH; Barrichello SA; Sakai P.
Fluoroscopy is used until the moment like the gold standart to guide the placement of self-expanding metallic stents for the palliative treatment of patients with esophageal malignant strictures
Gastrointestinal Endoscopy Unit of Gastroenterology of São Paulo University Medical School, Brazil.
This is a description of a comparison of two methods of stent placement: Without fluoroscopy by direct endoscopic view and with fluoroscopy, take in consideration the safe and efficacy.
Stent delivery sistem
Results: Thirty seven consecutive patients with inoperable esophageal malignancy underwent stent placement. Eighteen with fluoroscopy and nineteen underwent endoscopic placement without fluoroscopy. Deployment in satisfactory position without fluoroscopy was successful in 18 of 19 (94.74%) and there was only one important complication. Deployment using fluoroscopy was successful in 16 of 18 (88.89%); there were no important complications. Patient’s characteristics and prior treatments like chemotherapy and/or radiotherapy didn’t show statistical difference.
Conclusions: The majority of esophageal stents can be accurately positionedwithout fluoroscopy as safe and effectiveness as with fluoroscopy, and less cost.
