A new approach to endoscopic treatment of tumors of the esophagogastric junction with individually designed self-expanding metal stents
| Autor: | Serhat Aymaz, Arno J Dormann |
|---|---|
| Rok vydání: | 2008 |
| Předmět: |
Male
medicine.medical_specialty Esophageal Neoplasms medicine.medical_treatment Case Report medicine Carcinoma Humans Esophagogastric junction Aged 80 and over medicine.diagnostic_test business.industry Stomach Gastroenterology Stent Endoscopy General Medicine medicine.disease equipment and supplies Dysphagia Surgery Palliative Therapy medicine.anatomical_structure Adenocarcinoma Stents Esophagogastric Junction medicine.symptom business |
| Zdroj: | World journal of gastroenterology. 14(24) |
| ISSN: | 1007-9327 |
| Popis: | The incidence of adenocarcinoma of the esophago-gastric junction is constantly increasing. Curative treatment is no longer possible at the time of diagnosis in more than 50% of patients with esophageal carcinoma, and palliative treatment focusing on eliminating dysphagia is required. Endoscopic therapy with stent implantation is an established method of achieving this. It can be carried out quickly, with a low rate of early complications, and leads to fast symptomatic improvement, assessed using the dysphagia score. The relatively high rate of late complications such as stent migration, hemorrhage, and gastroesophageal mucosal prolapse has led to recent debate on the role of metal stents in palliative therapy. We present here a new type of stent design for transcardial application, which is intended to prevent bleeding due to mechanical mucosal lesions caused by the distal end of the stent extending into the stomach. The further intention of this case report is to force the discussion on individually designed nitinol stents in special anatomic conditions. |
| Databáze: | OpenAIRE |
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