Self-Expanding Metal Stent (SEMS) insertion: Fluoroscopy versus pure endoscopic technique – A cost comparison

  • Morgie Govender University of KwaZulu-Natal
  • Damian Luiz Clarke University of KwaZulu-Natal
  • Colleen Aldous University of KwaZulu-Natal

Abstract

Oesophageal cancer is a disease with significant morbidity and mortality, and in South Africa most patients present with advanced disease.1 Self-expanding metal stents (SEMS) are now widely used in the palliation of oesophageal cancer, and in most institutions SEMS are deployed under fluoroscopic guidance. In our institution, we use an exclusive endoscopic deployment technique which is comparable to the traditional fluoroscopic technique in terms of safety and efficacy.2-4 We undertook a study to compare the two techniques with respect to their time- and cost-effectiveness.

Author Biographies

Morgie Govender, University of KwaZulu-Natal

FCS(SA)
Pietermaritzburg Metropolitan Hospital Complex
Nelson R Mandela School of Medicine
University of KwaZulu-Natal

Damian Luiz Clarke, University of KwaZulu-Natal

PhD
Pietermaritzburg Metropolitan Hospital Complex
Nelson R Mandela School of Medicine
University of KwaZulu-Natal

Colleen Aldous, University of KwaZulu-Natal

PhD
Pietermaritzburg Metropolitan Hospital Complex
Nelson R Mandela School of Medicine
University of KwaZulu-Natal

Published
2016-11-23
How to Cite
Govender, M., Clarke, D., & Aldous, C. (2016). Self-Expanding Metal Stent (SEMS) insertion: Fluoroscopy versus pure endoscopic technique – A cost comparison. South African Journal of Surgery, 54(3), 54-55. Retrieved from http://sajs.redbricklibrary.com/index.php/sajs/article/view/1982
Section
Letters to the Editor