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World J Gastroenterol. Dec 28, 2011; 17(48): 5327-5328
Published online Dec 28, 2011. doi: 10.3748/wjg.v17.i48.5327
Published online Dec 28, 2011. doi: 10.3748/wjg.v17.i48.5327
Self-expanding metallic esophageal stents: A long way to go before a particular stent can be recommended
Pankaj Jain, Department of Gastroenterology, Fortis Modi Hospital, Vivekanand Nagar, 324010 Kota, Rajasthan, India
Author contributions: Jain P analyzed the data, reviewed the literature and wrote the paper.
Correspondence to: Pankaj Jain, MD, DM, Consultant Gastroenterologist, Department of Gastroenterology, Fortis Modi Hospital, Vivekanand Nagar, 324010 Kota, Rajasthan, India. panj2007@rediffmail.com
Telephone: +91-9829-564531 Fax: +91-0744-2473500
Received: January 29, 2011
Revised: April 26, 2011
Accepted: May 3, 2011
Published online: December 28, 2011
Revised: April 26, 2011
Accepted: May 3, 2011
Published online: December 28, 2011
Abstract
We agree that the covered self-expanding metal stents (SEMSs) fare better than the uncovered stents as recurrent dysphagia due to tumor ingrowth is common with uncovered stent. Recent American College of Gastroenterology Practice Guideline on the Role of Esophageal Stents in Benign and Malignant Diseases concludes that SEMSs cannot be routinely recommended in conjunction with chemo-radiation. The comparison of ultraflex and choostent in the Italian study found no difference in the palliation of dysphagia, rate of complications and survival rate.