Palliation With Palliation With Endoluminal Stents Endoluminal Stents Todd H. Baron, M.D., Todd H. Baron, M.D., F.A.C.P. F.A.C.P. Professor of Medicine Professor of Medicine Gastroenterology & Gastroenterology & Hepatology Hepatology Mayo Clinic College of Mayo Clinic College of Medicine Medicine
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Palliation With Endoluminal Stents Todd H. Baron, M.D., F.A.C.P. Professor of Medicine Gastroenterology & Hepatology Mayo Clinic College of Medicine.
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Palliation With Endoluminal Palliation With Endoluminal StentsStents
Todd H. Baron, M.D., F.A.C.P.Todd H. Baron, M.D., F.A.C.P.
Complications of Enteral Stents Complications of Enteral Stents • Tumor ingrowth/overgrowthTumor ingrowth/overgrowth
• MigrationMigration
• PerforationPerforation
immediateimmediate
delayeddelayed
• Impaction Impaction
• BleedingBleeding
• Pain/TenesmusPain/Tenesmus
ConclusionsConclusions• SEMS are effective for closing TEF and SEMS are effective for closing TEF and
treating all forms of malignant treating all forms of malignant esophageal obstructionesophageal obstruction
• SEMS are cost-effective for palliation of SEMS are cost-effective for palliation of malignant GOO for pancreatic CAmalignant GOO for pancreatic CA
• SEMS can be used for both pre-SEMS can be used for both pre-operative and palliative treatment of operative and palliative treatment of malignant colonic obstruction malignant colonic obstruction