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Results for “ESOPHAGEAL PERFORATION”

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At least 1,351 records · Page 75Linked to original sources
PubMed1981

[The esophageal tube inserted under endoscopic radiologic control].

During the past 2 years we have treated 30 patients with an endotubus positioned by endoscopical and radiological control. In contrast to many other authors we have also used this method in proximal stenosing tumors. Our mortality rate lies at 16% with a mean post-operative survival time of 9 weeks. There were no deaths due to this procedure in patients (n = 18) with distally situated tumors. The hospital stay of patients treated using this method is much shorter than when surgery is employed, and the complication rate is much lower. If no problems are encountered, patients can be discharged after 2 days.

Adenocarcinoma↗
PubMed1983

[Endoscopic tube implantation for the palliative treatment of malignant stenoses in the esophago-gastric region].

Palliative surgical treatment of malignant oesophago-gastric strictures has been disappointing. Resections in an advanced tumor stage are heroic interventions with a high mortality rate. Alimentary fistulas do not release from annoying saliva regurgitation but unnecessarily mutilate the terminal patient. The positioning of a tube under endoscopic control into the constricting neoplasma has the following advantages: 1. deglutition and saliva drainage are restored; 2. morbidity- and mortality rate is low; 3. duration of hospitalization is brief (1-2 days).

Aged↗
PubMed1981

[The risk of gastrostomy in childhood. Sources of error and prevention (author's transl)].

The indication for gastrostomy in childhood arises from the possibilities of decompression and enteral feeding. The demand for an operative procedure to children involves simple technique, safety, efficacy and uncomplicated nursing. The most important sources of error in the creation of a gastrostoma arise from the position and size of the catheter, atraumatic suture technique; on the other hand there is the threat of postoperative extension of the gastrostoma, local infection and sepsis. The results of our own procedure are described and the results given of 172 of our own cases.

Aftercare↗
PubMed1983

Management of upper gastrointestinal haemorrhage.

Upper gastrointestinal haemorrhage is a life threatening situation. Peptic ulcer disease, oesophageal varices and Mallory-Weiss tear are the major causes. Initial management usually includes hospital admission and, ideally, care by a specialized team involving Physician, Surgeon and Nursing Staff. Prompt and adequate blood replacement is the most important measure followed by diagnosis, usually based on flexible endoscopy. Specific treatment protocols for peptic ulcer and oesophageal varices aid definitive management. Prognosis is influenced by age, presence of complicating disease, aetiology and the severity of the bleed.

Adult↗
PubMed1984

Sclerotherapy for esophageal varices: preliminary experience.

There has been a resurgence of interest in injection sclerotherapy as a means of controlling and preventing variceal hemorrhage. This report reviews and evaluates the early experience with this procedure at the Toronto General Hospital. From May 1979 to January 1983, 39 patients underwent 73 separate treatment sessions (rigid 23, flexible 50), during active bleeding (3), during hospitalization for variceal hemorrhage but after cessation of bleeding (35) and during elective admission to hospital expressly for sclerotherapy (35). Follow-up was obtained for 38 patients (98%). The overall rate of rebleeding was 27%. Complications occurred in 13 patients (33%). Ten patients died; in 2, death was directly attributable to a complication of sclerotherapy. From this preliminary experience the authors conclude that complications of sclerotherapy are frequent and potentially life-threatening, so more prospective randomized trials are needed before its role in the treatment of bleeding varices is clear.

Adult↗