Endoscopic Palliation of Malignant Dysphagia
To the Editor: In the Images in Clinical Medicine series (Aug. 15 issue), 1 Wong and Van Dam described a case in which an expandable metallic esophageal prosthesis spared their patient considerable discomfort and expense. Expandable metal stents, especially the latest “coated” ones that retard the i...
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Veröffentlicht in: | The New England journal of medicine 1997-01, Vol.336 (4), p.294-295 |
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creator | McCray, R S |
description | To the Editor:
In the Images in Clinical Medicine series (Aug. 15 issue),
1
Wong and Van Dam described a case in which an expandable metallic esophageal prosthesis spared their patient considerable discomfort and expense. Expandable metal stents, especially the latest “coated” ones that retard the ingrowth of tumors, are an important advance in the treatment of inoperable esophageal cancer. However, the placement of these stents is not without risk. My colleagues and I have encountered a high complication rate in our initial experience in 11 patients with the five types of expandable metallic stents currently available. Two patients had intractable . . . |
doi_str_mv | 10.1056/NEJM199701233360413 |
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In the Images in Clinical Medicine series (Aug. 15 issue),
1
Wong and Van Dam described a case in which an expandable metallic esophageal prosthesis spared their patient considerable discomfort and expense. Expandable metal stents, especially the latest “coated” ones that retard the ingrowth of tumors, are an important advance in the treatment of inoperable esophageal cancer. However, the placement of these stents is not without risk. My colleagues and I have encountered a high complication rate in our initial experience in 11 patients with the five types of expandable metallic stents currently available. Two patients had intractable . . .</description><identifier>ISSN: 0028-4793</identifier><identifier>EISSN: 1533-4406</identifier><identifier>DOI: 10.1056/NEJM199701233360413</identifier><identifier>PMID: 9005319</identifier><language>eng</language><publisher>United States: Massachusetts Medical Society</publisher><subject>Deglutition Disorders - etiology ; Deglutition Disorders - therapy ; Esophageal Neoplasms - complications ; Humans ; Palliative Care ; Stents - adverse effects</subject><ispartof>The New England journal of medicine, 1997-01, Vol.336 (4), p.294-295</ispartof><rights>Copyright © 1997 Massachusetts Medical Society. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-844f3909299bec88535f60df4c263b60316a4ed216f47a0794f6dd06a37c9be73</citedby><cites>FETCH-LOGICAL-c375t-844f3909299bec88535f60df4c263b60316a4ed216f47a0794f6dd06a37c9be73</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.nejm.org/doi/pdf/10.1056/NEJM199701233360413$$EPDF$$P50$$Gmms$$H</linktopdf><linktohtml>$$Uhttps://www.nejm.org/doi/full/10.1056/NEJM199701233360413$$EHTML$$P50$$Gmms$$H</linktohtml><link.rule.ids>314,776,780,2746,2747,26080,27901,27902,52357,54039</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9005319$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>McCray, R S</creatorcontrib><title>Endoscopic Palliation of Malignant Dysphagia</title><title>The New England journal of medicine</title><addtitle>N Engl J Med</addtitle><description>To the Editor:
In the Images in Clinical Medicine series (Aug. 15 issue),
1
Wong and Van Dam described a case in which an expandable metallic esophageal prosthesis spared their patient considerable discomfort and expense. Expandable metal stents, especially the latest “coated” ones that retard the ingrowth of tumors, are an important advance in the treatment of inoperable esophageal cancer. However, the placement of these stents is not without risk. My colleagues and I have encountered a high complication rate in our initial experience in 11 patients with the five types of expandable metallic stents currently available. Two patients had intractable . . .</description><subject>Deglutition Disorders - etiology</subject><subject>Deglutition Disorders - therapy</subject><subject>Esophageal Neoplasms - complications</subject><subject>Humans</subject><subject>Palliative Care</subject><subject>Stents - adverse effects</subject><issn>0028-4793</issn><issn>1533-4406</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1997</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kDtPwzAUhS0EKqXwCxBSJhYIXPv6EY-olJdaYIA5ch27BCVxiNOh_56gVkyIu9zhnPMNHyGnFK4oCHn9PHtaUK0VUIaIEjjFPTKmAjHlHOQ-GQOwLOVK4yE5ivEThqNcj8hIAwikekwuZ00Rog1taZNXU1Wl6cvQJMEnC1OVq8Y0fXK7ie2HWZXmmBx4U0V3svsT8n43e5s-pPOX-8fpzTy1qESfZpx71KCZ1ktns0yg8BIKzy2TuJSAVBruCkal58qA0tzLogBpUNlhoXBCzrfctgtfaxf7vC6jdVVlGhfWMVeZUoIxOhRxW7RdiLFzPm-7sjbdJqeQ_zjK_3A0rM52-PWydsXvZidlyC-2eV3HvHGf9b-0b-Usa9I</recordid><startdate>19970123</startdate><enddate>19970123</enddate><creator>McCray, R S</creator><general>Massachusetts Medical Society</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19970123</creationdate><title>Endoscopic Palliation of Malignant Dysphagia</title><author>McCray, R S</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-844f3909299bec88535f60df4c263b60316a4ed216f47a0794f6dd06a37c9be73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1997</creationdate><topic>Deglutition Disorders - etiology</topic><topic>Deglutition Disorders - therapy</topic><topic>Esophageal Neoplasms - complications</topic><topic>Humans</topic><topic>Palliative Care</topic><topic>Stents - adverse effects</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>McCray, R S</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The New England journal of medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>McCray, R S</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Endoscopic Palliation of Malignant Dysphagia</atitle><jtitle>The New England journal of medicine</jtitle><addtitle>N Engl J Med</addtitle><date>1997-01-23</date><risdate>1997</risdate><volume>336</volume><issue>4</issue><spage>294</spage><epage>295</epage><pages>294-295</pages><issn>0028-4793</issn><eissn>1533-4406</eissn><abstract>To the Editor:
In the Images in Clinical Medicine series (Aug. 15 issue),
1
Wong and Van Dam described a case in which an expandable metallic esophageal prosthesis spared their patient considerable discomfort and expense. Expandable metal stents, especially the latest “coated” ones that retard the ingrowth of tumors, are an important advance in the treatment of inoperable esophageal cancer. However, the placement of these stents is not without risk. My colleagues and I have encountered a high complication rate in our initial experience in 11 patients with the five types of expandable metallic stents currently available. Two patients had intractable . . .</abstract><cop>United States</cop><pub>Massachusetts Medical Society</pub><pmid>9005319</pmid><doi>10.1056/NEJM199701233360413</doi><tpages>2</tpages></addata></record> |
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ispartof | The New England journal of medicine, 1997-01, Vol.336 (4), p.294-295 |
issn | 0028-4793 1533-4406 |
language | eng |
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source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; New England Journal of Medicine |
subjects | Deglutition Disorders - etiology Deglutition Disorders - therapy Esophageal Neoplasms - complications Humans Palliative Care Stents - adverse effects |
title | Endoscopic Palliation of Malignant Dysphagia |
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