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Esophageal Metal Stenting for Advanced Malignancy

Esophageal metal stenting is a palliative endoscopic procedure used to relieve difficulty in swallowing (dysphagia) caused by advanced esophageal or upper gastrointestinal cancers. It involves placing a self-expanding metal stent (SEMS) in the esophagus to reopen the blocked or narrowed area, allowing patients to eat and drink more comfortably.

Why Is It Done?

In advanced esophageal cancer or cancers compressing the esophagus from outside, tumors can block the esophagus, making it hard or impossible to swallow. Surgery may not be an option due to disease spread or poor patient health. In such cases, esophageal stenting offers immediate, effective relief.

    How Is the Procedure Performed?
    • Done via endoscopy under sedation.
    • A guidewire is placed through the narrowed segment of the esophagus.
    • The metal stent is positioned across the tumor and expanded.
    • The stent pushes the tumor aside, restoring the passage for food.
    Benefits of Esophageal Metal Stenting:
    • Immediate relief of swallowing difficulty
    • Enables oral intake of food and liquids
    • Minimally invasive, typically done as a day-care procedure
    • Improves quality of life in palliative care
    • Avoids the need for a feeding tube or major surgery
    Is It Safe?

    Yes, it is generally safe and well-tolerated. Some mild discomfort may occur temporarily. Possible but rare complications include:

    • Chest pain
    • Bleeding
    • Stent migration
    • Food impaction

    Esophageal metal stenting is a compassionate, non-surgical approach to restoring swallowing in patients with advanced malignancy, helping them maintain dignity and nutrition in challenging times.