Self Expandable Esophageal Metalic Stents (SEEMS) Sebagai Terapi

Paliatif Obstruksi Esophagus ec Signet Ring Cell Carcinoma

(a case report)
Hermawan*,Darmawan Ismail**, Soebandrijo**,Ida Bagus Metria***, Agus Raharjo***,
P.Kusnanto****,H.Didit o!ianto*****
General Surgery Residence*, Staf of Toracic Cardio Vascular Surgery Department **, Staf
of Digestif Surgery Department***, Staf of Gastroenterology Department, Dr Moewardi
Hospital****, Staf of nternist Department, slamic Hospital Sura!arta*****
!STRCT
!ackground" More than hal" #atients with $ar$inoma eso#hagus are ino#erable at the time o"
#resentation. A number o" treatment o#tions are a!ailable to relie!e d%s#hagia. &his $ase to
re#ort the use"ulness o" sel" e'#andable eso#hageal metali$ stent "or the treatment o"
d%s#hagia.
Case Report" Aman () %ears old with grade * d%s#hagia +At,inson,s S$ore-, due to
ino#erable $ar$inoma eso#hagus and he did not want #er"ormed #er$utan gastri$ tube. Post
o#eration a##eared #leuraeso#hageal "istula. &he #atient #er"ormed Sel" .'#andable
.so#hageal Metali$ Stenting under endos$o#i$ guidan$e to relie!e d%s"agia.
Results" Im#ro!ement in d%s#hagia +At,inson,s S$ore, $on!ersion o" grade * d%s#hagia
into grade / - and $losed o" Pleuraleso#hageal "istula was seen in this #atient, "oreign bod%
sensation as a minor $om#lain.
Conclusion" In #atient with ino#erable $ar$inoma eso#hagus, Sel" .'#andable .so#hageal
Metali$ Stents was #ro!ed an e""e$ti!e method "or #alliation o" d%s#hagia and #leura
eso#hageal "istel with minimall% $om#li$ations.
#e$ %ords" .so#hagogastri$ $ar$inoma, #leura eso#hageal "istel, #alliati!e thera#%,
d%s#hagia, S..MS.