Artikel ; Online: Impact of a new conceptualized anti-reflux Trumpet stent on the quality of life of patients with advanced carcinoma of the cardio-oesophageal junction.
2023 Band 56, Heft 2, Seite(n) 95–99
Abstract: Objectives: To evaluate a newly developed, self-expandable anti-reflux Trumpet (ART) stent customized for cardio oesophageal junctional (COJ) cancer on the feasibility of deployment, stent migration, quality of life, and symptom relief.: Design: ... ...
| Abstract | Objectives: To evaluate a newly developed, self-expandable anti-reflux Trumpet (ART) stent customized for cardio oesophageal junctional (COJ) cancer on the feasibility of deployment, stent migration, quality of life, and symptom relief. Design: Prospective case series, Proof of concept pilot study. Setting: Tertiary Health Care Center, Hospital Tuanku Jaafar, Seremban, Malaysia. Department of Surgery. Participants: A total of 17 patients diagnosed with advanced COJ tumour and who had never undergone any surgical, endoscopic, or chemoradiotherapy and indicated for stenting were recruited. Interventions: The study period was over nine months, and follow-up was one-month post-stenting. Main outcome measures: Endpoint measures were feasibility of deployment of the new design, symptoms relief, early stent migration, early complication, GERD Q score, and (QOL)assessment. Results: The ART stent was inserted successfully in all cases (17/17, 100%). There were two stent migrations due to the flexibility of the stent at the neck. There were no early or post-stenting one-month complications associated with the procedure. A good flow of contrast was seen in all the stents deployed. GERD Q score was low in all patients pre and post-stenting. Post-stenting there was a relief of dysphagia, weight gain, and a 60% improvement in QOL score. Conclusions: ART stent is feasible and technically successful in COJ tumours. It provides good symptom relief, improves the QOL, and has minimal early complications. Funding: None declared. |
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| Mesh-Begriff(e) | Humans ; Quality of Life ; Pilot Projects ; Esophageal Neoplasms/therapy ; Esophageal Neoplasms/complications ; Palliative Care/methods ; Gastroesophageal Reflux/therapy ; Gastroesophageal Reflux/complications ; Carcinoma ; Stents ; Treatment Outcome |
| Sprache | Englisch |
| Erscheinungsdatum | 2023-07-11 |
| Erscheinungsland | Ghana |
| Dokumenttyp | Journal Article |
| ZDB-ID | 2259233-7 |
| ISSN | 2616-163X ; 2616-163X |
| ISSN (online) | 2616-163X |
| ISSN | 2616-163X |
| DOI | 10.4314/gmj.v56i2.6 |
| Datenquelle | MEDical Literature Analysis and Retrieval System OnLINE |
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