Tu1388 Comparative Study of Hybrid Technique Versus Fluoroscopic Technique for Insertion of Self Expanding Metallic Stents (SEMS) in Non Traversable Oesophageal Tumors

Abstract

SEMS is an accepted palliation for dysphagia in patients with oesophageal cancer. Endoscopic technique (ET) for SEMS insertion has previously been shown to be safe, effective, less time consuming with improved positioning especially of the proximal end of the stent. The obvious limitation of ET is in non-traversable tumours (with standard endoscope), requiring ultraslim scopes which are not widely available. We employ a hybrid approach, using fluoroscopy for dilatation followed by direct endoscopic insertion of SEMS.