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Referências encontradas : 460 [refinar]
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[PMID]:28375439
[Au] Autor:Akiyama Y; Iwaya T; Endo F; Shioi Y; Chiba T; Takahara T; Otsuka K; Nitta H; Koeda K; Mizuno M; Kimura Y; Sasaki A
[Ad] Endereço:Department of Surgery.
[Ti] Título:Stability of cervical esophagogastrostomy via hand-sewn anastomosis after esophagectomy for esophageal cancer.
[So] Source:Dis Esophagus;30(5):1-7, 2017 May 01.
[Is] ISSN:1442-2050
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The aim of the present study is to evaluate the outcome of hand-sewn esophagogastric anastomosis during radical esophagectomy for esophageal cancer. The outcomes of 467 consecutive esophageal cancer patients who underwent cervical esophagogastric anastomosis using interrupted and double-layered sutures after radical esophagectomy via right thoracotomy or thoracoscopic surgery were retrospectively reviewed. Anastomotic leakage, including conduit necrosis, occurred in 11 of 467 patients (2.4%); 7 of 11 (63.6%) cases experienced only minor leakage, whereas the other four (36.4%) patients had major leakage that required surgical or radiologic intervention, including two patients of conduit necrosis. Anastomotic leakages were more frequently observed after retrosternal reconstruction compared with the posterior mediastinal route (P < 0.0001). The median time to healing of leakage was 40 days (range: 14-97 days). Two patients (2/467, 0.4%) died in the hospital due to sepsis caused by the leakage and conduit necrosis. Twelve patients (2.6%) developed anastomotic stenosis, which was improved by dilatation in all patients. Hand-sewn cervical esophagogastric anastomosis is a stable and highly safe method of radical esophagectomy for esophageal cancer.
[Mh] Termos MeSH primário: Fístula Anastomótica/epidemiologia
Neoplasias Esofágicas/cirurgia
Esofagectomia/métodos
Esofagostomia/métodos
Esôfago/cirurgia
[Mh] Termos MeSH secundário: Idoso
Anastomose Cirúrgica/efeitos adversos
Anastomose Cirúrgica/métodos
Fístula Anastomótica/etiologia
Esofagostomia/efeitos adversos
Esôfago/patologia
Feminino
Seres Humanos
Masculino
Meia-Idade
Estudos Retrospectivos
Resultado do Tratamento
[Pt] Tipo de publicação:EVALUATION STUDIES; JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171102
[Lr] Data última revisão:
171102
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170405
[St] Status:MEDLINE
[do] DOI:10.1093/dote/dow007


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[PMID]:28359499
[Au] Autor:Fox MP; Mathisen DJ
[Ad] Endereço:Division of Thoracic Surgery, Massachusetts General Hospital, Boston, Massachusetts.
[Ti] Título:Surgical Treatment of Squamous Carcinoma in an Antethoracic Skin Tube Used for Esophageal Replacement.
[So] Source:Ann Thorac Surg;103(4):e361-e363, 2017 Apr.
[Is] ISSN:1552-6259
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:Occasionally, enteric conduits are unavailable or impractical for esophageal replacement. Cutaneous tubes are rarely employed alternatives that remain useful in specific circumstances. We present the case of a patient with a long standing skin tube complicated by malignancy that was replaced with a new skin tube.
[Mh] Termos MeSH primário: Carcinoma de Células Escamosas/etiologia
Carcinoma de Células Escamosas/cirurgia
Esofagoplastia/efeitos adversos
Neoplasias Cutâneas/etiologia
Neoplasias Cutâneas/cirurgia
Estruturas Criadas Cirurgicamente/efeitos adversos
[Mh] Termos MeSH secundário: Idoso
Carcinoma de Células Escamosas/diagnóstico
Esofagostomia
Seres Humanos
Masculino
Neoplasias Cutâneas/diagnóstico
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170522
[Lr] Data última revisão:
170522
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170401
[St] Status:MEDLINE


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[PMID]:27853047
[Au] Autor:Kanemoto Y; Fukushima K; Kanemoto H; Ohno K; Tsujimoto H
[Ad] Endereço:Department of Veterinary Internal Medicine, Graduate School of Agricultural and Life Sciences, The University of Tokyo,1-1-1 Yayoi, Bunkyo-ku, Tokyo 113-8657, Japan.
[Ti] Título:Long-term management of a dog with idiopathic megaesophagus and recurrent aspiration pneumonia by use of an indwelling esophagostomy tube for suction of esophageal content and esophagogastric tube feeding.
[So] Source:J Vet Med Sci;79(1):188-191, 2017 Jan 24.
[Is] ISSN:1347-7439
[Cp] País de publicação:Japan
[La] Idioma:eng
[Ab] Resumo:A 10-year-old neutered male Labrador Retriever dog was diagnosed with idiopathic megaesophagus. Despite receiving conventional treatments including elevated feeding, the dog showed repeated regurgitation and aspiration pneumonia, consequently developing weight loss and severe malnutrition. For the purpose of controlling regurgitation, an esophagostomy tube was placed for draining the esophageal fluid. Additionally, an esophagogastric tube was placed for nutritional support. After tube placement, the average frequency of regurgitation was reduced from 2.4 times a day to 0.1 times a day. The nutritional state of the dog improved gradually, and the body weight increased from 18.5 to 27.9 kg. The dog died on day 951, and necropsy revealed a gastric ulcer (2.5 cm in diameter), presumably esophagostomy tube-induced injury. This case report suggests that patients with idiopathic megaesophagus and persistent regurgitation might benefit from esophageal drainage through an esophagostomy tube.
[Mh] Termos MeSH primário: Doenças do Cão/terapia
Nutrição Enteral/veterinária
Acalasia Esofágica/veterinária
Pneumonia Aspirativa/veterinária
[Mh] Termos MeSH secundário: Animais
Cateteres de Demora/veterinária
Cães
Nutrição Enteral/instrumentação
Nutrição Enteral/métodos
Acalasia Esofágica/complicações
Acalasia Esofágica/terapia
Esofagostomia/veterinária
Intubação Intratraqueal/métodos
Intubação Intratraqueal/veterinária
Masculino
Pneumonia Aspirativa/etiologia
Pneumonia Aspirativa/terapia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170622
[Lr] Data última revisão:
170622
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161118
[St] Status:MEDLINE
[do] DOI:10.1292/jvms.16-0374


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[PMID]:27671449
[Au] Autor:Gombert A; Grommes J; Schick G; Binnebösel M; Klink C; Jacobs MJ; Kotelis D
[Ad] Endereço:Department of Vascular Surgery, European Vascular Center Aachen-Maastricht, University Hospital RWTH Aachen, Aachen, Germany. Electronic address: agombert@ukaachen.de.
[Ti] Título:Sarcoidosis-Associated Aortoesophageal Fistula-Multistage Interdisciplinary Surgical Therapy for a Rare and Life-Threatening Condition.
[So] Source:Ann Vasc Surg;39:287.e15-287.e20, 2017 Feb.
[Is] ISSN:1615-5947
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:Aortoesophageal fistulas (AEFs) are rare and life-threatening conditions. Till date, an association between an AEF and sarcoidosis has not been reported yet. The aim of this report is to demonstrate a case of AEF secondary to sarcoidosis and its multistage interdisciplinary surgical therapy. A 66-year-old male was diagnosed with sarcoidosis in 2014. He has been treated with glucocorticoids since then and no severe health restrictions due to the disease have occurred. In December 2015, the patient presented with acute thoracic pain and hematemesis: an esophagogastroscopy revealed an AEF. First, stent-graft implantation in the thoracic aorta was urgently performed as a "bridging" procedure. Second, esophagectomy and local debridement were performed, followed by explantation of the stent graft and reconstruction by means of xenograft replacement of the stented aorta in a third operation. Finally, retrosternal gastric pull-up was performed in a fourth operative procedure. Sixteen days after the last operation the patient could be discharged to a rehabilitation clinic. Follow-up is uneventful so far; the antibiotic therapy was stopped at the time of hospital discharge. The pathogenesis of sarcoidosis, a rare autoimmunological disease, has not been completely clarified yet. The diagnosis relies on clinical symptoms and radiological as well as histopathological findings. Many cases of sarcoidosis show spontaneous regression, but severe complications may occur. While tracheoesophageal fistulas have been described in the literature, AEFs related to sarcoidosis have not been mentioned yet. Despite surgical and antibiotic treatment, the morbidity and mortality rates of AEF are high. Because the endovascular treatment has been established for emergency procedures of the aorta, it is considered as an appropriate first-line "bridging" treatment option. To achieve good long-term results, surgical treatment has to involve esophagectomy with secondary reconstruction of the upper gastrointestinal tract, as well as open aortic replacement using xenograft or homograft material. Sarcoidosis may lead to AEF as demonstrated in this case. Successful treatment can be realized by a multistage interdisciplinary surgical approach.
[Mh] Termos MeSH primário: Aorta Torácica/cirurgia
Doenças da Aorta/cirurgia
Implante de Prótese Vascular
Remoção de Dispositivo
Procedimentos Cirúrgicos do Sistema Digestório
Fístula Esofágica/cirurgia
Equipe de Assistência ao Paciente
Sarcoidose/complicações
Fístula Vascular/cirurgia
[Mh] Termos MeSH secundário: Idoso
Antibacterianos/uso terapêutico
Aorta Torácica/diagnóstico por imagem
Doenças da Aorta/diagnóstico por imagem
Doenças da Aorta/etiologia
Aortografia/métodos
Prótese Vascular
Implante de Prótese Vascular/instrumentação
Angiografia por Tomografia Computadorizada
Desbridamento
Emergências
Fístula Esofágica/diagnóstico por imagem
Fístula Esofágica/etiologia
Esofagectomia
Esofagostomia
Gastroscopia
Glucocorticoides/uso terapêutico
Xenoenxertos
Seres Humanos
Comunicação Interdisciplinar
Masculino
Sarcoidose/diagnóstico
Sarcoidose/tratamento farmacológico
Stents
Resultado do Tratamento
Fístula Vascular/diagnóstico por imagem
Fístula Vascular/etiologia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Anti-Bacterial Agents); 0 (Glucocorticoids)
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170309
[Lr] Data última revisão:
170309
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160928
[St] Status:MEDLINE


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[PMID]:27444825
[Au] Autor:Toyomasu Y; Ogata K; Suzuki M; Yanoma T; Kimura A; Kogure N; Yanai M; Ohno T; Mochiki E; Kuwano H
[Ad] Endereço:Department of General Surgical Science (Surgery I), Gunma University Graduate School of Medicine, 3-39-22 Showa-machi, Maebashi, Gunma, 371-8511, Japan. m07702047@gunma-u.ac.jp.
[Ti] Título:Restoration of gastrointestinal motility ameliorates nutritional deficiencies and body weight loss of patients who undergo laparoscopy-assisted proximal gastrectomy.
[So] Source:Surg Endosc;31(3):1393-1401, 2017 Mar.
[Is] ISSN:1432-2218
[Cp] País de publicação:Germany
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Esophagogastrostomy after proximal gastrectomy (PG) is a simple and safe reconstruction, but it leads to a high incidence of reflux esophagitis and impairs postoperative quality of life. We have already reported gastric tube (GT) reconstruction after PG and performed it on more than 100 patients. No studies have reported long-term outcomes after PG-GT. The aim of this study was to investigate long-term outcomes, including nutrition indices, such as body weight, serum albumin, total protein, hemoglobin, and ferritin after PG, and observe recovery of upper gastrointestinal tract motility. METHODS: We analyzed body weight loss and laboratory findings at our outpatient clinic at 1, 6, 12, 24, 36, 48, and 60 months postoperatively. Manometric recording was carried out at 1, 2, 3, 4, and 5 years after surgery. RESULTS: The percentage change in body weight in the PG-GT group was significantly larger than that in the PG-JI and TG-RY groups at 2.5, 3, 4, and 5 years after surgery. The levels of hemoglobin and ferritin in the PG-GT and PG-JI groups were significantly higher than those in the TG-RY group at all time points except 6 months after surgery. In the fasted state, the phase III originated at the gastric tube was propagated to the duodenum 3 years after surgery. In the fed state, phasic contractions of the duodenum were in harmony with gastric tube contractions 3 years after surgery. CONCLUSIONS: PG-GT is the least invasive procedure, and restoration of gastrointestinal motilities in the gastric tube and duodenum may ameliorate body weight loss and nutritional status, including anemia, in patients after PG.
[Mh] Termos MeSH primário: Esofagostomia
Gastrectomia/métodos
Motilidade Gastrointestinal
Gastrostomia
Laparoscopia
Neoplasias Gástricas/cirurgia
[Mh] Termos MeSH secundário: Adenocarcinoma/cirurgia
Idoso
Anemia/etiologia
Anemia/prevenção & controle
Feminino
Ferritinas/sangue
Gastrectomia/efeitos adversos
Hemoglobinas/análise
Seres Humanos
Masculino
Meia-Idade
Perda de Peso
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Hemoglobins); 9007-73-2 (Ferritins)
[Em] Mês de entrada:1708
[Cu] Atualização por classe:171026
[Lr] Data última revisão:
171026
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160723
[St] Status:MEDLINE
[do] DOI:10.1007/s00464-016-5127-z


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[PMID]:27670991
[Au] Autor:Patel A; Young LB; Rundback JH
[Ad] Endereço:Interventional Institute, Holy Name Medical Center, 718 Teaneck Road, Teaneck, NJ 07666. Electronic address: amishpatelmd@gmail.com.
[Ti] Título:Percutaneous Esophagogastrostomy Creation for Gastric Bypass Reversal.
[So] Source:J Vasc Interv Radiol;27(10):1552-3, 2016 Oct.
[Is] ISSN:1535-7732
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Transtornos de Deglutição/terapia
Estenose Esofágica/terapia
Esofagostomia/métodos
Derivação Gástrica/efeitos adversos
Gastrostomia/métodos
Desnutrição/terapia
Stents
[Mh] Termos MeSH secundário: Idoso
Deglutição
Transtornos de Deglutição/diagnóstico por imagem
Transtornos de Deglutição/etiologia
Transtornos de Deglutição/fisiopatologia
Estenose Esofágica/diagnóstico por imagem
Estenose Esofágica/etiologia
Estenose Esofágica/fisiopatologia
Feminino
Seres Humanos
Desnutrição/etiologia
Desnutrição/fisiopatologia
Estado Nutricional
Radiografia Intervencionista
Fatores de Tempo
Resultado do Tratamento
Ganho de Peso
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160928
[St] Status:MEDLINE


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[PMID]:27590840
[Au] Autor:Van Laethem JL; Carneiro F; Ducreux M; Messman H; Lordick F; Ilson DH; Allum WH; Haustermans K; Lepage C; Matysiak-Budnik T; Cats A; Schmiegel W; Cervantes A; Van Cutsem E; Rougier P; Seufferlein T
[Ad] Endereço:Department of Gastroenterology, Gastrointestinal cancer unit, Erasme University Hospital, ULB, Brussels, Belgium. Electronic address: jl.vanlaethem@erasme.ulb.ac.be.
[Ti] Título:The multidisciplinary management of gastro-oesophageal junction tumours: European Society of Digestive Oncology (ESDO): Expert discussion and report from the 16th ESMO World Congress on Gastrointestinal Cancer, Barcelona.
[So] Source:Dig Liver Dis;48(11):1283-1289, 2016 Nov.
[Is] ISSN:1878-3562
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:BACKGROUND AND SCOPE: The management of GOJ cancers remains controversial and may vary between countries. Evidence-based attitudes and guidelines are not easy to elaborate since most of the trials and studies reported mixed cases of oesophageal (both adenocarcinoma and squamous cell tumours), GOJ and gastric cancers. The aim of this expert discussion and position paper is to elaborate practical recommendations that integrate evidence-reported literature and experience-based attitude covering all clinical aspects of GOJ cancer across different specialities and countries in Europe. METHODOLOGY: Opinion leaders, selected on scientific merit were asked to answer to a prepared set of questions covering the approach of GOJ tumours from definition to therapeutic strategies. All answers were then discussed during a plenary session and reported here in providing a well-balanced reflection of both clinical expertise and updated evidence-based medicine. RESULTS: Definition, classification, diagnosis and staging of GOJ tumours were updated and debated. Therapeutic aspects including endoscopic therapy, surgical management, both multimodal curative and palliative management were also reviewed for proposing practical and consensual positions and recommendations whenever possible. CONCLUSION: GOJ tumours deserve specific attention,not only for uniformising clinical management across countries but also for performing specific clinical and translational research,mainly in the curative perioperative setting.
[Mh] Termos MeSH primário: Adenocarcinoma/patologia
Neoplasias Esofágicas/patologia
Neoplasias Esofágicas/terapia
Junção Esofagogástrica/patologia
Neoplasias Gástricas/patologia
Neoplasias Gástricas/terapia
[Mh] Termos MeSH secundário: Congressos como Assunto
Tratamento Farmacológico
Endoscopia Gastrointestinal
Esofagostomia
Medicina Baseada em Evidências
Gastrectomia
Seres Humanos
Oncologia
Estadiamento de Neoplasias
Apoio Nutricional
Cuidados Paliativos
Guias de Prática Clínica como Assunto
Ensaios Clínicos Controlados Aleatórios como Assunto
Sociedades Médicas
Espanha
Organização Mundial da Saúde
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160904
[St] Status:MEDLINE


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[PMID]:27499006
[Au] Autor:Ross S
[Ad] Endereço:Department of Hemodialysis/Nephrology/Urology, University of California Veterinary Medical Center - San Diego, 10435 Sorrento Valley Road, Suite 101, San Diego, CA 92121, USA. Electronic address: sro@ucdavis.edu.
[Ti] Título:Utilization of Feeding Tubes in the Management of Feline Chronic Kidney Disease.
[So] Source:Vet Clin North Am Small Anim Pract;46(6):1099-114, 2016 Nov.
[Is] ISSN:1878-1306
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Esophagostomy feeding tubes are useful, and in many cases essential, for the comprehensive management of cats with moderate to advanced chronic kidney disease (CKD). They should be considered a lifelong therapeutic appliance to facilitate the global management of cats with CKD thus providing improved therapeutic efficacy and quality-of-life. Esophagostomy tubes facilitate the maintenance of adequate hydration and increase owner compliance by facilitating the administration of medications. Finally, feeding tubes provide a means to deliver a stage-appropriate dietary prescription for cats with CKD and maintain an adequate nutritional plane in a patient that otherwise would be subject to chronic wasting.
[Mh] Termos MeSH primário: Doenças do Gato/dietoterapia
Nutrição Enteral/veterinária
Insuficiência Renal Crônica/veterinária
[Mh] Termos MeSH secundário: Animais
Gatos
Ingestão de Energia
Esofagostomia/veterinária
Insuficiência Renal Crônica/dietoterapia
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170407
[Lr] Data última revisão:
170407
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160809
[St] Status:MEDLINE


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[PMID]:27317593
[Au] Autor:Sasson M; Ahmad H; Dip F; Lo Menzo E; Szomstein S; Rosenthal RJ
[Ad] Endereço:Department of General Surgery and The Bariatric and Metabolic Institute, Cleveland Clinic Florida, Weston, Florida.
[Ti] Título:Comparison between major and minor surgical procedures for the treatment of chronic staple line disruption after laparoscopic sleeve gastrectomy.
[So] Source:Surg Obes Relat Dis;12(5):969-75, 2016 Jun.
[Is] ISSN:1878-7533
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Laparoscopic sleeve gastrectomy (LSG) has become the most common weight loss surgery procedure. The procedure's most dreaded surgical complication is staple-line disruption (SLD). So far, no definitive treatment modality has been established for this complication. OBJECTIVES: The aim of this study is to review the treatment options used at our institution for patients with SLD after LSG and to evaluate the outcome of different interventions. METHODS: A retrospective review of a prospectively collected database of all patients who underwent SLD between January 2005 and April 2014 was performed. SLD was defined as a leak identified on computed tomography or upper gastrointestinal series. We compared the cure rate between a major surgical procedure and patients treated with a variety of other minor treatment modalities. Special focus is given to the technique of proximal gastrectomy with Roux-en-Y esophagojejunostomy (PGEJ). The procedure consists of the en bloc resection of the proximal stomach immediately proximal to the gastroesophageal junction and including the fistulous tract. The jejunum is transected 50 cm distal to the ligament of Treitz and reconstruction of the gastrointestinal tract is performed with a Roux-en-Y esophagojejunostomy. RESULTS: Thirty-one patients had SLD after their LSG. Patients were divided into 2 groups based on the treatment modality: Group A (PGEJ) and Group B (minor surgical procedure). Group A (n = 19) had 1 releak. Group B (n = 11) had 5 releaks. The cure rate for patients who underwent PGEJ was 94.7%. The cure rate for patients who were treated with a different approach was 54.5% (P = .01). CONCLUSION: Our experience demonstrates that the cure rate of PGEJ is high. Minor surgical procedures are effective in approximately half of the patients, so when the leak becomes chronic, PGEJ can provide a long-term solution.
[Mh] Termos MeSH primário: Anastomose em-Y de Roux/métodos
Gastrectomia/efeitos adversos
Laparoscopia/efeitos adversos
Grampeamento Cirúrgico/efeitos adversos
Deiscência da Ferida Operatória/cirurgia
[Mh] Termos MeSH secundário: Adulto
Fístula Anastomótica/etiologia
Fístula Anastomótica/cirurgia
Doença Crônica
Esofagostomia/métodos
Feminino
Seres Humanos
Jejunostomia/métodos
Masculino
Meia-Idade
Complicações Pós-Operatórias/cirurgia
Estudos Prospectivos
Estudos Retrospectivos
Resultado do Tratamento
Adulto Jovem
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171023
[Lr] Data última revisão:
171023
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160619
[St] Status:MEDLINE


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[PMID]:27308659
[Au] Autor:Constantinescu G; Sandru V; Ilie M; Nedelcu C; Tincu R; Popa B
[Ad] Endereço:Gastroenterology Department, Clinical Emergency Hospital Bucharest, Romania.
[Ti] Título:Treatment of Malignant Esophageal Fistulas: Fluoroscopic Placement of Esophageal SEMS, Endoscopically-assisted through Surgical Gastrostomy. A Case Report.
[So] Source:J Gastrointestin Liver Dis;25(2):249-52, 2016 Jun.
[Is] ISSN:1842-1121
[Cp] País de publicação:Romania
[La] Idioma:eng
[Ab] Resumo:Progressive esophageal carcinoma can infiltrate the surrounding tissues with subsequent development of a fistula, most commonly between the esophagus and the respiratory tract. The endoscopic placement of covered self-expanding metallic stents (SEMS) is the treatment of choice for malignant esophageal fistulas and should be performed immediately, as a fistula formation represents a potential life-threatening complication. We report the case of a 64-year-old male diagnosed with esophageal carcinoma, who had a 20Fr surgical gastrostomy tube inserted before chemo- and radiotherapy and was referred to our department for complete dysphagia, cough after swallowing and fever. The attempt to insert a SEMS using the classic endoscopic procedure failed. Then, a fully covered stent was inserted, as the 0.035" guide wire was passed through stenosis retrogradely by using an Olympus Exera II GIF-N180 (4.9 mm in diameter endoscope) via surgical gastrostomy, with a good outcome for the patient. The retrograde approach via gastrostomy under endoscopic/fluoroscopic guidance with the placement of a fully covered SEMS proved to be the technique of choice, in a patient with malignant esophageal fistula in whom other methods of treatment were not feasible.
[Mh] Termos MeSH primário: Fístula Esofágica/terapia
Neoplasias Esofágicas/complicações
Esofagostomia/instrumentação
Gastrostomia
Metais
Radiografia Intervencionista
Stents
[Mh] Termos MeSH secundário: Fístula Esofágica/diagnóstico por imagem
Fístula Esofágica/etiologia
Neoplasias Esofágicas/patologia
Esofagoscópios
Fluoroscopia
Seres Humanos
Masculino
Meia-Idade
Desenho de Prótese
Radiografia Intervencionista/métodos
Resultado do Tratamento
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Metals)
[Em] Mês de entrada:1702
[Cu] Atualização por classe:170228
[Lr] Data última revisão:
170228
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160617
[St] Status:MEDLINE
[do] DOI:10.15403/jgld.2014.1121.252.mlg



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