[Endoscopic stenting of XXXX in the cervical esophagus].

@entity1 @entity38396 @entity5 @entity158 @entity850 @entity1118
OBJECTIVE: to define the optimal approach for self-expanding metal stents (SEMS) installing in the cervical esophagus in cases of @entity5 and to select the optimal types of stents for this @entity5 location. MATERIALS: From 2004 to 2013 in P.A. Herzen Moscow Cancer Research Institute in 24 @entity1 with cervical @entity5 @entity850 endoscopic stenting was performed. 70% of installed stents were Choo Cervical (M.I. Tech, Korea), 13%--unspecialized Choo and Hanaro stents (M.I. Tech, Korea), and 17%--Gianturco-Z stents (Wilson-Cook, Ireland). Main contraindication for cervical esophagus stenting was location of the @entity5 margin less than 1 cm from the upper esophageal sphincter. In 21% of cases, endoscopic stenting was performed under combined @entity38396 - and endoscopic guidance, in 79%-- using only endoscopic approach. RESULTS: Technical success of stent placement was achieved in all @entity1 ; SEMS was installed at the previously defined level. The accuracy of stenting was not depended from the type of guidance procedure. The most intensive @entity158 was observed in cases with "not specialized" stents with diameter of 18, 20 or 22 mm. Average @entity158 level in such @entity1 was 4.54 points (VAS). In the subgroup with "cervical" stents average @entity158 intensity was not exceed 3 points. @entity1118 syndrome lasts lifelong in 17% of @entity1 . CONCLUSION: The procedure of SEMS positioning under endoscopic guidance with individual selection of stent type allows restoring oral nutrition in @entity1 with severe @entity5 @entity850 of the cervical esophagus.
