26 KB741 KB24 KB200520132007Eržen, JanezSok, MihaelŠtupnik, TomažVidmar, Stankoletnik:12številka:289 stranistr. 99-107ISSN:1318-8941COBISSID:22938073URN:URN:NBN:SI:doc-TTNQHMBNslSlovensko zdravniško društvoEndoskopska revijabronhoskopijaDumonovi stentisapniktherapyzdravljenjezožitevEnoletne izkušnje z Dumonovimi silikonskimi traheobronhialnimi stenti| One-year experience with Dumon tracheobronchial stents|Background. Airway stenting is done to relieve nonresectable airway obstruction due to endotracheal intubation and tracheostomy related tracheal injuries, malignant or benign tumors, extrinsic compression or tracheobronchomalacia. Dumon silicone stents are considered the gold standard.They are placed with the aid of the rigid bronchoscope while the patient is under general anesthesia. Methods. During a one year period (2006),11 Dumon-type stents were placed in eight patients: four of them with postintubation stenoses, two with malignant airway obstructions, and one with TBC stenosis. Results. Complete long-term relief of symptoms was achieved in six patients. Three stents were replaced with larger diameter stents, one witha Montgomery T-tube because of migration, and one was removed due to inability of the patient to clear secretions. Conclusion. Dumon tracheobronchial stents are very effective in maintaining airway patency and are associated with good tolerance and infrequent complications. A proper selection of stent diameter and length is crucial to prevent migrationIzhodišča. Z opornicami - stenti lahko vzdržujemo prehodnost zgornjih dihal pri boleznih, ki niso primerne za kirurško zdravljenje. Te najpogosteje nastanejo zaradi poškodbe sapnika ob dolgotrajni endotrahealni intubaciji ali traheostomiji, redkeje pa zaradi tumorjev (malignih ali benignih), pritiska nadihalno pot od zunaj ali traheobronhomalacije. Dumonovi silikonski traheobronhialni stenti so zlati standard. Vstavimo jih v splošni anesteziji spomočjo togega bronhoskopa. Metode. V enem letu (2006) smo pri 8 bolnikih (4 pointubacijske stenoze, 2 maligni zapori dihalne poti, 1 stenoza po TBC, 1 diskinezija membranoznega dela) vstavili 11 Dumonovih stentov. Rezultati. Popolno dolgotrajno izboljšanje smo dosegli pri 6 bolnikih. Tri stente smo zaradi migracije zamenjali s širšimi, enega z Montgomeryevim T-stentom, en stent pa smo odstranili zaradi oslabelosti bolnice in težav pri izkašljevanju bronhialnega sekreta. Zaključki. Dumonovi traheobronhialni stenti učinkovito vzdržujejo prehodno dihalno pot, bolniki jih dobro prenašajo, z njimi povezanizapleti pa so redki. Pravilno izbrana dolžina in premer sta ključna zastabilen položaj stentaTEXTznanstveno časopisjejournalsSlovenian National E-content AggregatorNational and University Library of SloveniaSlovensko zdravniško društvo, Združenje za endoskopsko kirurgijo