Self-Expanding Stents in Gastrointestinal Endoscopy

Douglas G. Adler, MD

Chapter 3: Esophageal Stents In Patients With Malignant Dysphagia Due To Unresectable Disease (continued)

Kulwinder S. Dua, MD, FACP, FRCP, FASGE

Malignancy involving the esophagus can cause difficulty in swallowing either due to luminal obstruction (strictures) and/or due to luminal disruption (fistulae and leaks). These lesions can be intrinsic to the esophagus or located in the mediastinum, causing extrinsic compression. Primary esophageal cancer is the most common cause for malignant dysphagia and is one of the leading causes of cancer death worldwide.1 Dysphagia is the most common presenting symptom in the majority of patients with esophageal cancer. Since the esophageal wall normally has excellent compliance, patients generally…