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At least 343 records · Page 19Linked to original sources
PubMed1982

Palliative endoscopic treatment of malignant esophageal stenosis using a Häring prosthesis.

The aim of this work was to analyze the outcome of 78 cases of esophageal cancer for which the endoscopic placement of a Häring prosthesis was chosen as a palliative method of treatment. The average length of hospitalization was 10 days and the average survival time was 90.8 days. The postinsertion mortality rate was 6% and there were 44 complications. The best indications are carcinoma of the lower two thirds of the esophagus, neoplastic mediastinitis and esophageal fistulae.

Esophageal Neoplasms↗
PubMedDate not supplied

[Unusual aspects of colo-esophagoplasty in post-caustic esophageal stenosis].

The author presents 7 cases illustrating various particular aspects of coloesophagoplasty performed in cases of post-caustic esophageal stenoses. In pharyngolaryngeal stenoses the author recommends a personal technical variant of the oro-pharyngeal anastomosis. In one such case he performed a double pharyngocolic anastomosis in "Y". In two cases the author has successfully carried out retro-sternal transposition "of necessity", at 6 months and 4 years after coloesophagoplasty in the pre-thoracic variant. Intra-thoracic strangulation of the colic tube, occuring in two cases at 1 and 3 years respectively following initial surgery was resolved by colectomy of the intra-vascular type ("of verticalization").

Adult↗
PubMed1978

[The fiberoptic-endocopic intubation for the palliatuve treatment of malignant esophageal stenosis].

Fibreoptic-endoscopic dilatation and intubation is a relatively new and safe palliative treatment for patients with inoperable esophageal carcinoma. The procedure is described at length in three patients in whom it produced instant relief of dysphagia and rapid improvement of nutrition. The stay in hospital is reduced to a minimum. Possible complications are discussed.

Bronchial Neoplasms↗
PubMed2000

Esophagobronchial fistula combined with a peptic esophageal stenosis.

Peptic strictures are a rare complication of severe gastroesophageal reflux disease. An esophagobronchial fistula as a complication of a severe long-term reflux esophagitis with peptic stenosis is here described for the first time: A 43-year-old mentally disabled patient suffered from recurrent bronchopneumonia. Endoscopy revealed an esophagobronchial fistula originating in a peptic stricture. Under short-term fasting, intravenous feeding and application of a proton pump inhibitor (PPI) closure of this fistula was achieved within 4 days. Subsequently, dilatation was carried out. The case demonstrates that pulmonary complications in patients with peptic esophageal strictures may not only be due to aspiration of refluxate but--rarely--also to fistulae between the esophagus and the bronchial tree.

Adult↗
PubMed1991

[Surgical tactics in patients with postburn cicatricial esophageal stenosis].

Surgical policy during the first years after burn was aimed at the recovery of natural nutrition. To achieve that, esophageal bougienage (503 cases) or total retrosternal esophagoplasty from the large intestine (192 cases) were performed. The authors hold that in order to attain complete medical rehabilitation for the patients, it is necessary to remove all the cicatricially changed tissues. Esophageal resection was performed in 78 patients, including 27 with preservation of the n. vagus. In the long-term postburn period, a problem arises as to the surgical correction of functional and morphological alterations associated with the establishment of artificial esophagus (80 cases including 35 patients who were operated on by S. S. Yudin). While choosing surgical policy it is necessary to take into account both the technical skills of a surgeon and the whole complex of changes in the patient's body, which have already developed and are going to develop in the future.

Burns, Chemical↗
PubMed1994

[Self-expanding metal stents in the treatment of neoplastic esophageal stenosis. The technic and preliminary results].

Self-expanding metal stents have been recently used for the treatment of neoplastic esophageal stenoses. In our series, nitinol Strecker stents were implanted in ten patients with malignant esophageal intrinsic or extrinsic strictures, as a definitive palliation. Thirteen stents in all were used: two stents were positioned in three patients to recanalize the esophagus. The prostheses could always be inserted in the treated patients and in all of them swallowing was markedly improved. No major early complications were observed after stent insertion. All the stents but one were patent until the patient's death. Two patients are alive and bearing well-functioning stents. Self-expanding metal stents are to be preferred to plastic endoscopic tubes because their caliber is smaller at the time of insertion and they do not require general anesthesia, as endoscopic tubes sometimes require. Moreover, their complication rate is lower for both early and late complications. Tumor ingrowth through the stent mesh with stent occlusion is the major pitfall of these prostheses, together with the impossibility to use them when esophageal fistulas are present: these limitations will be soon overcome when silicone-coated expandable stents are on the market.

Aged↗