Fatal complications of endoluminal stent insertion before pr
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"Endoluminal stents, in particular self-expanding metal stents (SEMS) are widely used for rapid, effective palliation of dysphagia in patients with incurable esophageal cancer. In many institutions, the indications for stent insertion have been recently expanded to include patients with non-metastatic carcinomas of esophagus, who present with dysphagia prior to the curative-intent treatment. Since 2012, it has been a standard practice at our institution to perform insertion of SEMS for all patients with localized esophageal cancer, which were exhibiting more than minimal dysphagia at the time of the diagnosis, and which were scheduled to receive neoadjuvant external beam radiotherapy with concurrent systemic chemotherapy followed by curative intent esophagectomy. In this report, we describe two cases of unexpected mortality related to esophageal stenting done just prior to the initiation of preoperative chemoradiotherapy."....

http://www.edoriumjournals.com/journal-of-case-reports-and-images-in-oncology/archive/2016-archive/100028Z10VV2016-valakh/100028Z10VV2016-valakh-full-text.php
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