{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T15:18:44Z","timestamp":1786979924213,"version":"build-2736575974"},"reference-count":41,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2018,6,26]],"date-time":"2018-06-26T00:00:00Z","timestamp":1529971200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2018,6,26]],"date-time":"2018-06-26T00:00:00Z","timestamp":1529971200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2018,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The aim of this study was to analyze the safety and effectiveness of stenting using partially covered self\u2010expandable stents in palliation of dysphagia in patients with unresectable esophageal cancer.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Retrospective analysis of hospital records of all patients who underwent esophageal stenting in the period 2008\u20132015 was performed. The study included patients with unresectable esophageal and esophagogastric cancer.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      There were 442 patients included. Mean age was 56 years (range 28\u201389), and 379 were males. In 40 (9.0%) patients, stenting was performed in the cervical, in 150 (39.3%)\u2014in the middle thoracic, in 141 (31.9%)\u2014in lower thoracic esophagus and in 111 (25.1%)\u2014in the esophagogastric junction. Stenting resulted in significant alleviation of dysphagia grade (3.0 vs. 1.0,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.00001). During the follow\u2010up, 55 (12.4%) patients experienced recurrent dysphagia due to tumor or granulation tissue overgrowth, and in 18 (4.1%) patients, migration of the stent occurred, for which an independent risk factor was adjuvant chemo\u2010 and\/or radiation therapy (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.001). Minor complications included chest pain (54.5%), delayed complete stent expansion (12.0%), feeling of a foreign body (25.3%), hiccup (1.6%), gastroesophageal reflux (45.6%) and post\u2010discharge pneumonia (2.5%). A feeling of a foreign body in the esophagus was significantly more common after stenting of the cervical esophagus (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.0001), and hiccup was more common after stenting of the esophagogastric junction (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.02). Major complications included bleeding (1.3%), respiratory insufficiency (0.7%), esophageal perforation (0.9%) and irregular heartburn (2.3%). Overall procedure\u2010related mortality was 0.4%. The median survival time was 117.8\u00a0days (range 2\u2013732).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Stenting is an effective procedure in relieving dysphagia in patients with unresectable malignant esophageal stenosis and is associated with low rate of postoperative and long\u2010term complications.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00268-018-4722-7","type":"journal-article","created":{"date-parts":[[2018,6,26]],"date-time":"2018-06-26T15:07:27Z","timestamp":1530025647000},"page":"3988-3996","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":38,"title":["Stenting in Palliation of Unresectable Esophageal Cancer"],"prefix":"10.1002","volume":"42","author":[{"given":"Janusz R","family":"W\u0142odarczyk","sequence":"first","affiliation":[{"name":"Department of Thoracic and Surgical Oncology Jagiellonian University Collegium Medicum, John Paul II Hospital Krak\u00f3w Poland"},{"name":"Department of Thoracic Surgery John Paul II Hospital ul. Pr\u0105dnicka 80 31\u2010202 Krak\u00f3w Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jaros\u0142aw","family":"Ku\u017cd\u017ca\u0142","sequence":"additional","affiliation":[{"name":"Department of Thoracic and Surgical Oncology Jagiellonian University Collegium Medicum, John Paul II Hospital Krak\u00f3w Poland"},{"name":"Department of Thoracic Surgery John Paul II Hospital ul. Pr\u0105dnicka 80 31\u2010202 Krak\u00f3w Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,6,26]]},"reference":[{"key":"e_1_2_6_2_2","unstructured":"Surveillance epidemiology and end results program turning(2013)SEER stat fact sheets: esophageal cancer. 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W\u0142odarczyk and Ku\u017cd\u017ca\u0142 have no conflicts of interest or financial ties to disclose.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}]}}