ABSTRACT
In 37 patients with benign stenosis of the esophagus and esophageal anastomoses, the method of dilatation using special balloon catheters under endoscopic control was employed, and adequate dilatation of the stenotic region accomplished. In comparison with balloon dilators, bougies exert forces along the radial axis, and no tension is applied to the esophagus along the longitudinal axis. To obtain prolonged remission and decrease the number of "supporting" dilatations of esophageal benign stenosis and esophageal anastomoses, temporary intubation of the esophagus with a silicone prosthesis was performed in 7 patients. Further clinical application, and a study of the long-term results of endoscopic balloon hydro-dilatation and endoprosthesis for treating esophageal and anastomotic esophageal strictures, will help to elaborate more precise indications for the combined use of these methods.
Subject(s)
Catheterization/methods , Esophageal Stenosis/therapy , Adolescent , Adult , Aged , Esophagoscopy/methods , Female , Fiber Optic Technology , Humans , Male , Middle Aged , Prostheses and Implants , SiliconesSubject(s)
Colonic Neoplasms/surgery , Adult , Aged , Aged, 80 and over , Anti-Bacterial Agents/therapeutic use , Colonic Neoplasms/complications , Female , Humans , Intestinal Obstruction/etiology , Intestinal Obstruction/surgery , Male , Middle Aged , Postoperative Complications/prevention & control , Surgical Wound Infection/prevention & controlSubject(s)
Deglutition Disorders/therapy , Esophageal Achalasia/therapy , Adolescent , Adult , Aged , Cardia , Child , Dilatation , Esophagus/surgery , Humans , Middle AgedSubject(s)
Diverticulum, Esophageal/surgery , Intraoperative Complications/etiology , Postoperative Complications/etiology , Adult , Aged , Diagnostic Errors , Diverticulum, Esophageal/complications , Diverticulum, Esophageal/diagnosis , Esophagoscopy/adverse effects , Esophagus/diagnostic imaging , Esophagus/injuries , Esophagus/surgery , Female , Humans , Male , Middle Aged , Radiography , RecurrenceABSTRACT
This is the report of two cases of successful endoscopic foreign body extraction from the gastrointestinal tract. The first case describes the extraction of 18 objects from the stomach and duodenum of an insane patient done 6 months ago. The second case presents a patient with a prior bile duct operation in whom a transpapillary drain had been left behind 8 years ago. The authors suggest a number of recommendations concerning easier and safer technique of endoscopy. Roentgeno-endoscopic diagnostic localization of foreign bodies and choice of active or temporizing tactics is given special attention. Detailed description of foreign body extraction and further treatment of patients is given. In conclusion the authors suggest that endoscopy should be more often used after operations to reveal and remove possible iatrogenic foreign bodies from the gastrointestinal tract.
Subject(s)
Duodenoscopy/methods , Duodenum , Foreign Bodies/therapy , Gastroscopy/methods , Stomach , Adult , Cholecystectomy , Drainage/instrumentation , Humans , Male , Postoperative Complications/therapySubject(s)
Duodenoscopy , Duodenum , Foreign Bodies/therapy , Gastroscopy , Stomach , Adult , Female , Foreign Bodies/diagnostic imaging , Humans , Male , Middle Aged , RadiographySubject(s)
Bile Duct Diseases/etiology , Cholangiopancreatography, Endoscopic Retrograde/adverse effects , Gastrointestinal Hemorrhage/etiology , Pancreatitis/etiology , Adult , Aged , Bile Duct Diseases/prevention & control , Female , Gastrointestinal Hemorrhage/prevention & control , Humans , Male , Pancreatitis/prevention & controlSubject(s)
Esophageal Achalasia/surgery , Adolescent , Adult , Aged , Diagnosis, Differential , Dilatation/methods , Esophageal Achalasia/diagnosis , Follow-Up Studies , Humans , Middle Aged , Recurrence , Time FactorsSubject(s)
Postoperative Complications/prevention & control , Anti-Bacterial Agents/administration & dosage , Anti-Bacterial Agents/therapeutic use , Cardiac Surgical Procedures , Child , Humans , Intraoperative Care , Postoperative Complications/drug therapy , Premedication , Renal Dialysis , Time FactorsSubject(s)
Geriatrics , Surgical Procedures, Operative , Aged , Aging , Female , Humans , Hyperbaric Oxygenation , Male , Middle Aged , Postoperative Complications/epidemiology , Preoperative CareSubject(s)
Cardia/surgery , Cicatrix/complications , Esophageal Stenosis/etiology , Esophagus/surgery , Gastrectomy/adverse effects , Deglutition Disorders/etiology , Esophageal Diseases/surgery , Esophageal Neoplasms/surgery , Esophageal Stenosis/diagnosis , Female , Gastroesophageal Reflux/complications , Humans , Male , Middle Aged , Time FactorsABSTRACT
The authors have observed 203 patients with ulcers of the cardiac portion of the stomach. Especially great diagnostic importance is attached to the endoscopic method with the obligatory examination of the biopsic material taken from different portion of the ulcer. Resection of the cardiac portion with the creation of an invagination anastomosis is considered by the authors to be the most rational operation in ulcers localized in the cardia. The operation of choice in ulcers localized in the subcardia should be subtotal resection of the stomach.
