grekovВестник хирургии имени И.И. ГрековаGrekov's Bulletin of Surgery0042-46252686-7370Federal State Budgetary Educational Institution of Higher Education «Academician I.P. Pavlov First St. Petersburg State Medical University» of the Ministry of Healthcare of the Russion Federation, FSBEI HE I.P.Pavlov SPbSMU MOH Russia10.24884/0042-4625-2020-179-5-113-119grekov-1561Research ArticleОБЗОРЫREVIEWSСтентирование пищевода при неоперабельном раке (обзор литературы)Esophageal stenting for unresectable cancer (review of literature)https://orcid.org/0000-0002-3570-808XПоповаН. С.PopovaN. S.

врач отделения эндоскопии, 

Санкт-Петербург

Doctor of the Department of Endoscopy, 

Saint Petersburg

natalepopova@gmail.comhttps://orcid.org/0000-0001-7700-2379АванесянА. А.AvanesyanA. A.

кандидат медицинских наук, зав. отделением эндоскопии, 

Санкт-Петербург

Cand. of Sci. (Med.), Head of the Department of Endoscopy,

Saint Petersburg

albina-md@mail.ruhttps://orcid.org/0000-0002-2548-9469МирошниковБ. И.MiroshnikovB. I.

доктор медицинских наук, профессор, врач – хирург-эксперт,

Санкт-Петербург

Dr. of Sci. (Med.), Surgery Expert, 

Saint Petersburg

b.miroshnikov@oncocentre.ruhttps://orcid.org/0000-0003-2024-681XМоисеенкоВ. М.MoiseenkoV. M.

доктор медицинских наук, профессор, директор,

Санкт-Петербург

Dr. of Sci. (Med.), Professor, Chief, 

Saint Petersburg

moiseyenkov@gmail.comГосударственное бюджетное учреждение здравоохранения «Санкт-Петербургский клинический научно-практический центр специализированных видов медицинской помощи (онкологический)»РоссияSaint-Petersburg clinical scientific and practical center for specialized types of medical care (oncological)Russian Federation2020010920201795113119Copyright © Попова Н.С., Аванесян А.А., Мирошников Б.И., Моисеенко В.М., 20212021Попова Н.С., Аванесян А.А., Мирошников Б.И., Моисеенко В.М.Popova N.S., Avanesyan A.A., Miroshnikov B.I., Moiseenko V.M.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.vestnik-grekova.ru/jour/article/view/1561

На современном этапе развития медицины основным способом купирования дисфагии у больных с неоперабельным раком пищевода является стентирование. Широко распространенная и эффективная методика, однако, позволяет обеспечить пероральное питание в среднем на 3–4 месяца и сопровождается развитием широкого спектра осложнений. Оценка эффективности методики стентирования с учетом анализа вероятности развития осложнений, по данным современной отечественной и зарубежной литературы, важна с практической точки зрения. Уже определены потенциально возможные пути развития методики с целью улучшения отдаленных результатов. Среди активно используемых новинок – стенты с покрытием, включающем в себя радиоактивные изотопы йода. Многообещающим представляется использование 3D-печати для изготовления стентов с индивидуальными характеристиками, а также включение химиопрепаратов в покрытие саморасширяющихся металлических стентов. Поиски «идеального стента» продолжаются по пути индивидуализации подхода. 

To date, the main way to stop dysphagia for patients with unresectable esophageal cancer is stenting. Being widely accepted and effective, this technique, however, allows for oral nutrition only for an average of 3–4 months and is accompanied by the development of a wide range of complications. Recent Russian and foreign publications in the field show that evaluation of the effectiveness of the stenting technique, including analysis of possibility of complications development, is important for practical application. To improve long-term outcomes, the potential trends in the method evolution have already been identified. The stents coated with radioactive isotopes of iodine are among of the actively used novelties. Application of 3D printing for the manufacture of custom-tailored stents, as well as the inclusion of chemotherapeutic agents in the coating of self-expanding metal stents seem promising approach. The search for a «perfect stent» continues under paradigm of personalization.

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The authors declare that there are no conflicts of interest present.