{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,6]],"date-time":"2025-12-06T16:55:41Z","timestamp":1765040141833},"reference-count":15,"publisher":"Oxford University Press (OUP)","issue":"12","license":[{"start":{"date-parts":[[1995,12,1]],"date-time":"1995-12-01T00:00:00Z","timestamp":817776000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1995,12,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Adequate palliation of dysphagia due to inoperable oesophageal carcinoma is difficult to achieve with low morbidity. Thirty-three patients (21 men and 12 women of mean(s.e.m,) age 69(2) years) with inoperable carcinoma of the oesophagus underwent insertion of self-expanding metal stents. In 22 patients the tumours were in the lower third of the oesophagus, in eight in the middle third and in three in the upper third. A stent was inserted as primary palliative therapy in 14 patients, after failed laser therapy in 13 and after oesophageal perforation following other treatments in six. Patients presented with dysphagia of grade 3 or 4. Three types of stent were used: Wallstent, Strecker and Gianturco; stents were inserted under fluoroscopic guidance after balloon dilatation of the stricture. All attempted insertions of metal stents were successful. Dysphagia reduced from grade 3 or 4 to 0 or 1. There were no perforations related to insertion. Patients who had stents inserted to seal previous perforations left hospital a median 7 days later. Dysphagia recurred in six patients, due to migration of the stent (three), blockage by food bolus (one) and tumour overgrowth (two). These problems were easily treated. Self-expanding metal stents seem to offer excellent palliation with minimal morbidity for patients with inoperable carcinoma of the oesophagus.<\/jats:p>","DOI":"10.1002\/bjs.1800821231","type":"journal-article","created":{"date-parts":[[2007,3,3]],"date-time":"2007-03-03T22:35:07Z","timestamp":1172961307000},"page":"1678-1681","source":"Crossref","is-referenced-by-count":46,"title":["Self-expanding metal stents for the palliation of dysphagia due to inoperable oesophageal carcinoma"],"prefix":"10.1093","volume":"82","author":[{"given":"J P M","family":"Ellul","sequence":"first","affiliation":[{"name":"Department of Surgery, Guy's Hospital , London SE1 9RT,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A","family":"Watkinson","sequence":"additional","affiliation":[{"name":"Department of Radiology, Guy's Hospital , London SE1 9RT,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R J K","family":"Khan","sequence":"additional","affiliation":[{"name":"Department of Surgery, Guy's Hospital , London SE1 9RT,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A","family":"Adam","sequence":"additional","affiliation":[{"name":"Department of Surgery, Guy's Hospital , London SE1 9RT,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R C","family":"Mason","sequence":"additional","affiliation":[{"name":"Department of Surgery, Guy's Hospital , London SE1 9RT,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[1995,12,1]]},"reference":[{"key":"2024092815062963000_bib1","doi-asserted-by":"crossref","first-page":"381","DOI":"10.1002\/bjs.1800670602","article-title":"Oesophageal squamous cell carcinoma: I. A critical review of surgery","volume":"67","author":"Earlam","year":"1980","journal-title":"Br J Surg"},{"key":"2024092815062963000_bib2","doi-asserted-by":"crossref","first-page":"845","DOI":"10.1002\/bjs.1800770804","article-title":"Surgical therapy of oesophageal carcinoma","volume":"77","author":"Muller","year":"1990","journal-title":"Br J Surg"},{"key":"2024092815062963000_bib3","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1016\/0167-8140(88)90188-0","article-title":"The effect of radiotherapy on dysphagia and survival in patients with esophageal cancer","volume":"12","author":"Caspers","year":"1988","journal-title":"Radiother Oncol"},{"key":"2024092815062963000_bib4","doi-asserted-by":"crossref","first-page":"1303","DOI":"10.1016\/0016-5085(91)70017-R","article-title":"A prospective comparison of laser therapy and intubation in endoscopic palliation for malignant dysphagia","volume":"100","author":"Loizou","year":"1991","journal-title":"Gastroenterology"},{"key":"2024092815062963000_bib5","doi-asserted-by":"crossref","first-page":"1346","DOI":"10.1002\/bjs.1800781125","article-title":"Palliation of malignant dysphagia with laser therapy: predictability of results","volume":"78","author":"Mason","year":"1991","journal-title":"Br J Surg"},{"key":"2024092815062963000_bib6","doi-asserted-by":"crossref","first-page":"349","DOI":"10.1148\/radiology.180.2.1712500","article-title":"Esophagogastric neoplasms: palliation with a modified Gianturco stent","volume":"180","author":"Song","year":"1991","journal-title":"Radiology"},{"key":"2024092815062963000_bib7","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1016\/S0016-5107(92)70322-8","article-title":"Treatment of malignant esophageal obstruction with silicone-coated metallic self-expanding stents","volume":"38","author":"Schaer","year":"1992","journal-title":"Gastrointest Endosc"},{"key":"2024092815062963000_bib8","first-page":"79","volume-title":"Covered Z-stents in the treatment of malignant oesophageal obstructions and oesophagorespiratory fistulae. Annual Meeting of the Western Angiographic and Interventional Society","author":"Barton","year":"1993"},{"key":"2024092815062963000_bib9","first-page":"177","volume-title":"Expandable oesophageal metallic stents: experiences in 104 patients","author":"Sony","year":"1993"},{"key":"2024092815062963000_bib10","first-page":"81","volume-title":"Oesophageal spiral Z-stents. Annual Meeting of the Western Angiographic and Interventional Society","author":"Maeda","year":"1993"},{"key":"2024092815062963000_bib11","doi-asserted-by":"crossref","first-page":"729","DOI":"10.1148\/radiology.184.3.1509057","article-title":"Esophageal strictures: treatment with a new design of modified Gianturco stent. Work in progress","volume":"184","author":"Song","year":"1992","journal-title":"Radiology"},{"key":"2024092815062963000_bib12","doi-asserted-by":"crossref","first-page":"1302","DOI":"10.1056\/NEJM199310283291803","article-title":"A controlled trial of an expansile metal stent for palliation of esophageal obstruction due to inoperable cancer","volume":"329","author":"Knyrim","year":"1993","journal-title":"N Engl J Med"},{"key":"2024092815062963000_bib13","doi-asserted-by":"crossref","first-page":"661","DOI":"10.1148\/radiology.187.3.7684528","article-title":"Malignant esophageal strictures: treatment with a self-expanding nitinol stent","volume":"187","author":"Cwikiel","year":"1993","journal-title":"Radiology"},{"key":"2024092815062963000_bib14","doi-asserted-by":"crossref","first-page":"276","DOI":"10.1055\/s-2008-1074765","article-title":"Complications of esophageal stenting and balloon dilatation","volume":"11","author":"Saxon","year":"1994","journal-title":"Semin Intervent Radiol"},{"key":"2024092815062963000_bib15","doi-asserted-by":"crossref","first-page":"1443","DOI":"10.1001\/archinte.1985.00360080117017","article-title":"Endoscopic laser therapy for malignancies affecting the esophagus and gastroesophageal junction. Analysis of technical and functional efficacy","volume":"145","author":"Mellow","year":"1985","journal-title":"Arch Intern Med"}],"container-title":["Journal of British Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fbjs.1800821231","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/academic.oup.com\/bjs\/article-pdf\/82\/12\/1678\/59411879\/bjs1800821231.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/bjs\/article-pdf\/82\/12\/1678\/59411879\/bjs1800821231.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,9,28]],"date-time":"2024-09-28T15:06:35Z","timestamp":1727535995000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/bjs\/article\/82\/12\/1678\/6166084"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1995,12,1]]},"references-count":15,"journal-issue":{"issue":"12","published-online":{"date-parts":[[1995,12,1]]},"published-print":{"date-parts":[[1995,12,1]]}},"URL":"https:\/\/doi.org\/10.1002\/bjs.1800821231","relation":{},"ISSN":["0007-1323","1365-2168"],"issn-type":[{"type":"print","value":"0007-1323"},{"type":"electronic","value":"1365-2168"}],"subject":[],"published-other":{"date-parts":[[1995,12]]},"published":{"date-parts":[[1995,12,1]]}}}