ÖTLETEK . . .

 

AMIK  ELEINTE  MEGLEPŐEK

 

MÓDSZEREK . . .

 

AMIK  NEM  SZOKVÁNYOSAK

 

KÍSÉRLETEK ...

 

AMIK  SOKSZOR  ÚJSZERŰEK 

 

MŰTÉTEK . . .

 

AHOL MINDEZEKET

 

MEGVALÓSÍTJUK

 

Minimal Invasive endoscopic treatment for oesophageal stenosis

Szülőkategória: KUTATÁSI TÉMÁK
10. 01. 15
Módosítás: 01 december 2016

Krisztina Tari RN (1), Peter Lukovich MD (1), Szabolcs Farkas MD (2), Gabor Varadi MD (1), Peter Kupcsulik MD (1),

16th UNITED EUROPEAN GASTROENTEROLOGY WEEK (UEGW)

AND 12th ENDOSCOPY NURSES AND ASSOCIATES (ESGENA)

VIENNA 2008. OKTOBER 18-22.

 

(1)Endoscopy, 1 st Department of Surgery, (2)Department of Diagnostic Radiology and Oncotherapy, Semmelweis University, Budapest, Hungary

 

Introduction: There are several diseases which cause nutritional disability by oesophageal stenosis (gr. IV. reflux disease, achalasia, oesophageal cancer, compression and dislocation of the oesophagus caused by lung tumour and its mediastinal lymph node metastasis, stricture of the anastomosis after oesophageal exstirpation, stricture of the oesophagus caused by irradiation).

Aim and method: There are different methods for the palliative treatment of oesophageal stenosis: dilatation, laser therapy, conventional prothesis implantation and self expandable stent implantation. Nutrition of those patients with inoperable oesophageal cancer can be solved by insertion of conventional Rüsch prothesis. In the case of compression or dislocation of the oesophagus the most common method in palliation is the implantation of self expandable stent, which is more comfortable for the patients. After dilatation of the stenotic part of the oesophagus by a Savary-Gilliard probe under fluoroscopy, endoscopic examination could be performed for those patients, for whom the insertion of the endoscope was impossible. These minimal invasive methods for palliation of nutritional disability are less stressful for the patients than surgery, but in many cases could be risky as well.

Results: Patients with oesophageal stenosis are usually in malnutritioned and cachectic condition, they often have cardiac or respiratory diseases, and in a lot of cases have oesophago-respiratoric fistula. Due to the manipulation in the mouth, and the high risk of aspiration, during these interventions respiratory-failure can arise. In these cases suction of the airway, oxygen therapy, and even resustitation could be needed under the examination.

Conclusions: Endoscopic assistants in our endoscopic outpatient department are supposed to do assist in these examinations, which require more preparation in the everyday practice.