Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 3 de 3
Filtrar
Mais filtros










Base de dados
Intervalo de ano de publicação
1.
Nihon Shokakibyo Gakkai Zasshi ; 107(4): 598-604, 2010 Apr.
Artigo em Japonês | MEDLINE | ID: mdl-20411627

RESUMO

The cases were a 64-year-old man and a 57-year-old woman both with discomfort and dysphasia. They were given a diagnosis of esophageal achalasia after gastrointestinal endoscopy, barium esophagography and esophageal internal pressure tests. Their symptoms were dramatically improved by localized botulinum toxin injections, which were commonly available in the US. The localized botulinum toxin injection treatment is safe and minimally invasive with few complications. It is effective to reduce symptoms in esophageal achalasia.


Assuntos
Toxinas Botulínicas/administração & dosagem , Acalasia Esofágica/tratamento farmacológico , Feminino , Humanos , Injeções Intralesionais , Masculino , Pessoa de Meia-Idade
2.
J Gastroenterol ; 45(5): 501-5, 2010 May.
Artigo em Inglês | MEDLINE | ID: mdl-20033825

RESUMO

BACKGROUND: Endoscopic high-frequency soft coagulation, recently developed in Japan, is available for the management of gastric bleeding in cases of bleeding gastric ulcers and bleeding during endoscopic submucosal dissection. The aim of this study was to evaluate the efficacy of hemostasis with soft coagulation for bleeding gastric ulcers by comparing it with hemoclips in a prospective, randomized trial. METHODS: During the period of April 2006 to March 2008, 96 patients that had gastric ulcers with bleeding or nonbleeding visible vessels were enrolled in this study. All of the 96 patients were randomly divided into two groups: endoscopic hemostasis with soft coagulation (Group I) or endoscopic hemoclipping (Group II). RESULTS: A total of 41 (85%) out of 48 patients in Group I and 38 (79%) out of 48 patients in Group II were successfully treated with soft coagulation or clipping alone, respectively. The endoscopic hemostasis rate for the initial modality in combination with another endoscopic procedure performed after the initial method was 98% in both groups. One patient in Group I (2%) and five patients in Group II (10%) experienced recurrent bleeding. The time required to achieve hemostasis was shorter in Group I compared with Group II (9.2 +/- 11.1 vs. 13.6 +/- 9.4 min; P < 0.05). CONCLUSIONS: This study revealed that soft coagulation is as effective as hemoclipping for treating bleeding gastric ulcers. The time required to achieve hemostasis was shorter with the soft coagulation procedure.


Assuntos
Eletrocoagulação/instrumentação , Hemostase Endoscópica/instrumentação , Hemostasia Cirúrgica/instrumentação , Úlcera Péptica Hemorrágica/terapia , Úlcera Gástrica/terapia , Idoso , Feminino , Seguimentos , Humanos , Masculino , Metais , Pessoa de Meia-Idade , Úlcera Péptica Hemorrágica/etiologia , Úlcera Péptica Hemorrágica/patologia , Estudos Prospectivos , Recidiva , Úlcera Gástrica/complicações , Úlcera Gástrica/patologia , Fatores de Tempo , Resultado do Tratamento
3.
Gastrointest Endosc ; 67(6): 979-83, 2008 May.
Artigo em Inglês | MEDLINE | ID: mdl-18440388

RESUMO

BACKGROUND: Endoscopic submucosal dissection (ESD) plays an important role in the management of gastric neoplasms. There are few reports regarding stricture development caused by ESD of gastric neoplasms. OBJECTIVE: The present study aimed to determine the incidence of gastric stricture formation after ESD of gastric neoplasms and to report on the outcome and management of this complication: endoscopic intervention (ie, balloon dilation) versus surgery; the outcome of balloon dilation (success or failure/perforation). DESIGN: A case series from a retrospective review of gastric ESDs performed at Saga Medical School over a defined period of time. SETTING: Double-center territory, referral hospital. PATIENTS: An evaluation was performed in 532 patients with gastric mucosal tumors treated by ESD. A stricture was reported in 5 patients. All the 5 cases were located in the antrum. ESD that was performed in the cardia or the proximal stomach did not induce a stricture. RESULTS: Of the 5 cases of symptomatic gastric outlet obstruction, 1 patient required surgical intervention because of a near total gastric outlet obstruction not amenable to endoscopic intervention. The 4 patients underwent step-serial through-the-scope balloon dilations; in 2 patients, the procedure was successful, but in the other 2 patients, the procedure was complicated by a gastric perforation (50% incidence of perforation). LIMITATION: A retrospective study. CONCLUSIONS: Circumferential or subcircumferential resection by ESD in the antrum caused a stricture. Balloon dilation of the ESD gastric outlet obstruction might be a choice, but it is a risky treatment.


Assuntos
Cateterismo/métodos , Endoscopia Gastrointestinal/métodos , Gastrectomia/efeitos adversos , Antro Pilórico/cirurgia , Estenose Pilórica/terapia , Adenocarcinoma/cirurgia , Adenoma/cirurgia , Idoso , Idoso de 80 Anos ou mais , Feminino , Gastrectomia/métodos , Mucosa Gástrica/patologia , Mucosa Gástrica/cirurgia , Humanos , Masculino , Complicações Pós-Operatórias , Estenose Pilórica/diagnóstico , Estenose Pilórica/etiologia , Radiografia Abdominal , Neoplasias Gástricas/cirurgia
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA
...