...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Current opinion in gastroenterology >Therapeutic esophageal interventions for dysphagia and bleeding.
【24h】

Therapeutic esophageal interventions for dysphagia and bleeding.

机译：食管吞咽困难和出血的治疗性干预。

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

PURPOSE OF THIS REVIEW: This article reviews the most notable results of esophageal interventions for dysphagia and bleeding published in 2005. RECENT FINDINGS: Long-term rubber tube placement was shown to be an interesting treatment option for difficult esophageal strictures. Two studies demonstrated that only 50% of patients who had undergone pneumatic dilation for achalasia were dysphagia-free after long-term follow-up. It was shown that patients with dysphagia from esophageal cancer should be treated by intraluminal radiotherapy (brachytherapy), whereas stent placement was preferable in those with a poor prognosis. Temporary stent placement is an option in patients undergoing radiotherapy for inoperable esophageal cancer to increase the dysphagia-free period. Two studies were published on the successful use of silicone-covered plastic stents for sealing of leaks after surgery of the esophagus. The optimal treatment for bleeding varices was confirmed to be endoscopic band ligation. A meta-analysis demonstrated that adding sclerotherapy to band ligation for secondary prophylaxis of bleeding varices had no effect on clinical outcome. SUMMARY: In 2005, new techniques for the treatment of complicated strictures were presented. In addition, expanding indications for stents were reported. Finally, endoscopic band ligation was confirmed to be the most optimal technique for the treatment of varices.
机译：这篇综述的目的：本文回顾了2005年发表的食管吞咽困难和出血的干预措施最显着的结果。最新发现：长期放置橡胶管是解决困难食管狭窄的一种有趣的治疗选择。两项研究表明，长期随访后，仅有50％的因气管扩张而接受气管扩张的患者没有吞咽困难。结果表明，食管癌吞咽困难的患者应通过腔内放疗（近距离放疗）进行治疗，而预后较差的患者应首选支架置入术。对于无法手术的食管癌，接受放疗的患者可以选择临时放置支架以增加无吞咽困难期。发表了两项关于成功使用有机硅覆盖的塑料支架密封食道手术后渗漏的研究。确认静脉曲张破裂出血的最佳治疗方法是内镜下结扎术。一项荟萃分析表明，在乐队结扎术中增加硬化治疗以预防静脉曲张破裂出血对临床结局没有影响。摘要：2005年，提出了治疗复杂狭窄的新技术。另外，据报道支架的适应症不断扩大。最后，内镜下结扎术被证实是治疗静脉曲张的最佳技术。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号