摘要
AIM： To present our experience with endoscopic placement of an esophageal endoprosthesis in 19 patients. METHODS： A retrospective evaluation was made for the use of 19 stents positioned at the level of the cervical esophagus： 11 for malignant tumours （7 causing obstruction, 4 complicated by an esophago -tracheal or -cutaneous fistula）, and 8 for an acquired benign tracheo-esophageal fistula due to prolonged intubation. The covered Ultraflex stent was used in all cases except two. These two patients had an esophagocutaneous fistula following laryngectomy and a Flamingo Wall stent was used. RESULTS： Stent implantation was technically successful in all patients. Dysphagia score was improved from 3 to 2 in stenosis patients, while sealing of the fistula was achieved in all cases. The median hospital stay was 3 d for malignant turnout patients and 13.5 d for esophagocutaneous fistula patients. One Ultraflex stent and two Flamingo Wall stents were easily removed 33 d and 3 months respectively after implantation when the fistulas had totally occluded. CONCLUSION： Endoprosthesis implantation for malignancy and/or fistula of malignant or benign origin at the level of the cervical esophagus is an easy, well tolerated, safe and effective procedure with no complications or mortality.
瞄准：在 19 个病人与食道的 endoprosthesis 的内视镜的放置介绍我们的经验。方法：回顾的评估为在颈的食管的水平放的 19 stents 的使用被做：11 为恶性肿瘤(7 引起阻塞， 4 由气管的 esophago 或皮肤的管复杂) ，并且 8 为获得的良性的 tracheo 食道的管由于延长插管。除了二，盖住的 Ultraflex 斯滕特氏印模膏在所有情况中被使用。这二个病人让 esophagocutaneous 管追随者喉切除术和火烈鸟墙斯滕特氏印模膏被使用。结果：斯滕特氏印模膏培植在所有病人是技术上成功的。咽下困难 20 在狭窄病人从 3 ～ 2 被改进，当管封上在所有情况中被完成时。中部的医院停留为 esophagocutaneous 管病人是为恶性肿瘤病人和 13.5 d 的 3 d。一 Ultraflex 斯滕特氏印模膏和二火烈鸟墙 stents 是当管完全堵塞了时，容易在培植以后分别地移开 33 d 和 3 个月。结论：为在颈的食管的水平的恶意或良性的起源的恶意或管的 Endoprosthesis 培植是没有复杂并发症或死亡的一个容易的、很好容忍的、安全、有效的过程。
