{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,27]],"date-time":"2025-10-27T10:39:57Z","timestamp":1761561597023},"reference-count":28,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2011,12,7]],"date-time":"2011-12-07T00:00:00Z","timestamp":1323216000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Surgical Oncology"],"published-print":{"date-parts":[[2012,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Self\u2010expanding metal stents (SEMS) are an accepted intervention for malignant dysphagia. Stents vary in ease of insertion, removability, migration and occlusion rates. This series reports the complications, morbidity and mortality associated with several SEMS.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>A prospective database of patients undergoing fluoroscopic guided oesophageal stent insertion for malignancy between June 2001 and June 2009 was analysed. Patient demographics, intervention outcomes and tumour variables were correlated with stent failure and patient survival. Multivariate analysis was performed to evaluate predictors for stent failure.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Two hundred and seventy\u2010three stents were deployed using nine different types of SEMS. The median Mellow\u2013Pinkas dysphagia score significantly improved from 3 to 1 post\u2010stent insertion (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001), with a technical success rate of 98%. Stent complications occurred in 95 (36%) patients [recurrent dysphagia n\u2009=\u200949 (19%), migration n\u2009=\u200924 and occlusion n\u2009=\u200925]. Multivariate analysis demonstrates that the covered Niti S stent fails significantly more than the double\u2010layered Niti S stent (OR\u2009=\u20094, <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.005).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Oesophageal stent insertion provides good palliation for malignant dysphagia, however recurrent dysphagia remains a problem. This major complication occurs more frequently with covered Niti S stents than double\u2010layered Niti S stents. This finding may aid the stent choice used in advanced oesophageal malignancy. J. Surg. Oncol. 2012; 105:60\u201365. \u00a9 2011 Wiley Periodicals, Inc.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jso.22059","type":"journal-article","created":{"date-parts":[[2011,12,7]],"date-time":"2011-12-07T18:15:41Z","timestamp":1323281741000},"page":"60-65","source":"Crossref","is-referenced-by-count":32,"title":["Outcomes following oesophageal stent insertion for palliation of malignant strictures: A large single centre series"],"prefix":"10.1002","volume":"105","author":[{"given":"Nicholas J.","family":"Battersby","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Glenn 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