Palliation with oesophageal metal stent of pseudoachalasia from gastric carcinoma at the cardia: a case report

Cesare Hassan, Sma Campo, R Lorenzetti, M De Matthaeis, A Zullo, P Cerro, S. Morini

Risultato della ricerca: Contributo in rivistaArticolo in rivista

3 Citazioni (Scopus)

Abstract

We present an 82-year-old woman with a 3-month history of progressive dysphagia and a normal initial upper gastrointestinal endoscopy. The diagnosis of pseudoachalasia was suspected by oesophageal manometric and barium swallow studies, and confirmed by biopsies revealing an intestinal type carcinoma of the stomach at a repeated endoscopy. In view of the history of heart disease, diabetes, and old age, this patient was treated by a partially covered Ultraflex self-expanding metal stent (Boston Scientific, Natick, MA, USA) placed into the oesophageal body with no direct complications and obtaining the relief from dysphagia. During the 11-month follow-up she was treated for an iron deficiency anaemia due to reflux oesophagitis with ulcerations in the oesophageal body and died from myocardial infarction. According to the localization of the cancer, the old age, and the presence of comorbidities, we should recommend the insertion of a partially covered self-expanding metal stent as a reasonable palliative treatment in selected subjects with pseudoachalasia.
Lingua originaleEnglish
pagine (da-a)791627-791627
Numero di pagine1
RivistaDiagnostic and Therapeutic Endoscopy
Volume2009
DOI
Stato di pubblicazionePubblicato - 2009
Pubblicato esternamenteYes

Keywords

  • pseudoachalasia

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