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Integraned Palliative Treatment Tumors of Esophagus, Cardia and Esophageal Anastomosis
- Authors: 1, 2, 3, 4
-
Affiliations:
- Novosibirsk State Medical University, 52 Krasnyi Ave., Novosibirsk, 630091, Russian Federation
- Novosibirsk State Regional Clinical Hospital, 130 Nemirovicha-Danchenko Str., Novosibirsk, 630087, Russian Federation
- Novosibirsk Research Institute of Circulation Pathology, 15 Rechkunovskaia Str., Novosibirsk, 630055, Russian Federation
- Novosibirsk Research Institute of Circulation Pathology, 15 Rechkunovskaia Str., Novosibirsk, 630055, Russian Federation3
- Issue: Vol 7, No 2 (2014)
- Pages: 132-140
- Section: Original articles
- URL: https://vestnik-surgery.com/journal/article/view/82
- DOI: https://doi.org/10.18499/2070-478X-2014-7-2-132-140
- ID: 82
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Abstract
Relevance Marked increase in the incidence of malignant neoplasms of the esophagus and cardia. By the time of diagnosis, more than 50 % of patients can not perform radical surgery because of the severity of the patient or the local prevalence of neoplastic lesions. The purpose of the study To assess the results of palliative interventions in malignant tumors of the esophagus, cardia and oesophageal anastomosis. Materials and methods Stenting of the esophagus and esophageal anastomoses performed 133 patients (99 men and 34 women). The age of patients ranged from 35 to 91 years . Esophageal cancer was in 80 patients, cancer of the gastric cardia involving esophagus in 33, compression of the esophagus from the outside in 5, recurrent gastric cancer after gastrectomy in 8, recurrence of esophageal cancer after surgery type Lewis at 4 esophageal cancer recurrence after extirpation of the esophagus with gastroplasty at 3. Stenting was performed silicone stents in 22 patients and nitinol partially or fully covered stents in 111 patients. Results and their discussion Complications of stent placement were observed in 9 patients (2 with silicone stents and 7 using nitinol stents). Complications after stenting were 21 patients (8 - silicone stents, 13 - self-expanding stents ). All complications promptly diagnosed and corrected. Stenting the stent -in- stent were 11 patients in the period from 2 to 14 months after stenting. Deaths were observed. Conclusion Endoscopic stenting of the esophagus and esophageal anastomosis is an effective and safe method of restoring oral ingestion. Preferably self-expanding stents used metal . Performing esophageal stenting prior to radical radiation therapy allows for treatment without splitting rate, with a low risk of esophageal stenosis under irradiation without increasing percentage radioreactions.
About the authors
Novosibirsk State Medical University, 52 Krasnyi Ave., Novosibirsk, 630091, Russian Federation
Author for correspondence.
Email: author@vestnik-surgery.com
MD, docent of department hospital and children surgery Novosibirsk State medical university, thoracic surgeon, endoscopist department of thoracic surgery Novosibirsk State Regional clinical hospital Russian Federation
Novosibirsk State Regional Clinical Hospital, 130 Nemirovicha-Danchenko Str., Novosibirsk, 630087,
Russian Federation
Email: author@vestnik-surgery.com
MD, Professor, head of department hospital and children surgery Novosibirsk State medical university, thoracic surgeon department of thoracic surgery Novosibirsk State Regional clinical hospital Russian Federation
Novosibirsk Research Institute of Circulation Pathology, 15 Rechkunovskaia Str., Novosibirsk, 630055, Russian Federation
Email: author@vestnik-surgery.com
PhD, head of the department of radiotherapy Novosibirsk Research Institute of Circulation Pathology Russian Federation
Novosibirsk Research Institute of Circulation Pathology, 15 Rechkunovskaia Str., Novosibirsk, 630055, Russian Federation3
Email: author@vestnik-surgery.com
oncolog, thoracic surgeon of the department of radiotherapy Novosibirsk Research Institute of Circulation Pathology Russian Federation
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