Year 2025 / Volume 117 / Number 11
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An unconventional retrograde approach for self-expanding metallic stent delivery in esophagus cancer palliation

662-664

DOI: 10.17235/reed.2024.10151/2023

Daniel Conceição, Carolina Simões, Fátima Francisco, Isabel Claro,

Abstract
Partially covered self-expanding metallic stents (SEMS) are the main recommendation for palliative treatment of malignant dysphagia. Delivering self-expanding metallic stents in stenosing oesophagus neoplasia’s are often challenging due to the difficulty on passing a guide wire through the tumour. We describe a case in which the guidewire was only able to franchise the tumour retrogradely, after entering the gastric cavity through the percutaneous endoscopic gastrostomy orifice using an ultra slim scope.
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References
1. Spaander M.C.W.; van der Bogt R.D., Baron T.H.; et al; Esophageal stenting for benign and malignant disease: European Society of Gastrointestinal Endoscopy (ESGE) Guideline - Update 2021. Endoscopy. 2021 Jul;53(7):751-762.
2. Medas R., Ferreira-Silva J., Girotra M.; et al; Best Practices in Esophageal, Gastroduodenal, and Colonic Stenting. GE Port J Gastroenterol. 2022 Nov 7;30(Suppl 1):19-34.
3. Wang, C.; Wei, H.; Li Y.; Comparison of fully-covered vs partially covered self-expanding metallic stents for palliative treatment of inoperable esophageal malignancy: a systematic review and meta-analysis. BMC Cancer 20, 73 (2020).
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Conceição D, Simões C, Francisco F, Claro I. An unconventional retrograde approach for self-expanding metallic stent delivery in esophagus cancer palliation. 10151/2023


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Publication history

Received: 08/12/2023

Accepted: 18/12/2023

Online First: 11/01/2024

Published: 11/11/2025

Article Online First time: 34 days

Article editing time: 704 days


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