Endoscopic tube implantation for the palliation of malignant esophageal stenosis
| Autor: | Niederle B, Jantsch H, Reinhold Függer, Schiessel R, Schulz F |
|---|---|
| Rok vydání: | 1990 |
| Předmět: |
Adult
medicine.medical_specialty Palliative care Esophageal Neoplasms medicine.medical_treatment Perforation (oil well) Foreign-Body Migration Stomach Neoplasms medicine Intubation Humans Esophagus Risk factor Aged Aged 80 and over medicine.diagnostic_test business.industry Palliative Care Gastroenterology Prostheses and Implants Middle Aged medicine.disease Dilatation Surgery Endoscopy Stenosis medicine.anatomical_structure Esophageal stenosis Lymphatic Metastasis Esophageal Stenosis Esophagoscopy business |
| Zdroj: | Europe PubMed Central |
| ISSN: | 0013-726X |
| Popis: | One hundred endoscopic tube implantations were carried out on 95 patients with malignant esophageal stenosis. Palliative treatment was performed in 43% of cases because of the advanced stage of the tumor, and in 57% of cases because of risk factors which made resection inadvisable. Clinical mortality was 16%, with six deaths caused by technical complications (perforation, arrosion bleeding), and ten by cardiopulmonary problems. Dislodgement or obstruction of the prostheses was observed in 20% of cases, but could readily be corrected. The median survival time was two months, with 17% of the patients still alive after six months. Poor general health, advanced age and the presence of distant metastases were established as unfavorable prognostic indications with a significant influence on postoperative mortality. Functional results were good: 87% of patients were able to eat solid or pulpy food post-operatively. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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