Abstract:
PATIENT AND METHODS:174 patients who had cardiac adenocarcinoma were examined in the endoscopic laboratory of the Surgical Department between March 1, 1994 and October 29, 2002. In the course of the endoscopic examinations intramural metastases were found in 19 patients (10.9%). Of the patients with esophageal metastasis, five had type 1 tumor, 10 had type 2 tumor, and 4 had type 3 tumor of the Siewert-Stein categorization. 16 of the patients were male, 3 were female. Seven patients had only one metastasis in the oesophagus, in the other patients the number of metastases varied between 2-5. Surgical intervention: in 4 out of the 19 patients no surgical intervention was performed, because they had extended metastases. In 4 patients a tube was inserted surgically, 1 patient had gastrostomy, 1 patient had explorative laparotomy, and another patient had diagnostical laparoscopy. Eight patients had gastric and esophageal resection/gastrectomy for palliative reason. RESULTS:Survival data of six patients out of the 19 were not evaluated, because in 1 case there was a postoperative complication, and in five patients the time passed since the diagnosis was too short. Mean survival time: 1/ patients with tube insertion: 128.25 days; 2/ no-intervention cases: 248 days; 3/ after the gastrectomy: 164 days; 4/ after the explorative laparotomy: 180 days; 5/ after diagnostic laparoscopy: 108 days. 6/ after gastric and esophageal resection/gastrectomy: 474 days (211 days the shortest, 723 days the longest). In case of those patients, who underwent resection, the survival was longer and the quality of life was better than in the other groups. CONCLUSIONS:1. The intramural esophageal metastases of the cardiac adenocarcinomas are detectable by a routine endoscopic examination and confirmed by histological investigation. 2. Esophageal metastases of cardiac adenocarcinomas occur in all the three types of the Siewert-Stein classification. 3. The metastasis on the oesophagus means a developed stage of the tumor. 4. The proper therapy--although it can only be palliative--will increase the survival time of acceptable quality for the patient. 5. There was no significant difference in the survival time of patients after the removal of different types of Siewert-Stein tumors.
journal_name
Orv Hetiljournal_title
Orvosi hetilapauthors
Szántó Isubject
Has Abstractpub_date
2004-01-18 00:00:00pages
99-104issue
3eissn
0030-6002issn
1788-6120journal_volume
145pub_type
杂志文章相关文献
ORVOSI HETILAP文献大全abstract::The authors have performed 110 inguinofemoral hernioplasties on 100 patients by transabdominal endoscopic method. There has been only one serious complication: a 50 years old man was reoperated on against a trocar-site bleeding and a postoperative adhesion-ileus. All patients recovered. The authors have got good exper...
journal_title:Orvosi hetilap
pub_type: 杂志文章
doi:
更新日期:2000-08-13 00:00:00
abstract::Post-resuscitation brain injury forms the leading cause of death of patients after successful cardiopulmonary resuscitation that explains why post-resuscitation neuroprotection is the most important part of post-resuscitation therapy. The goals of the neuroprotection tools available today are preventing the evolution ...
journal_title:Orvosi hetilap
pub_type: 杂志文章,评审
doi:10.1556/650.2019.31589
更新日期:2019-11-01 00:00:00
abstract:INTRODUCTION:The occurrence of gram-positive infections caused by multiresistant organisms has increased significantly in general, particularly among the surgical patients, and only a few effective antibiotics are available. A new and effective, synthetic antibiotic, against gram-positives is the oxazolidinon group, th...
journal_title:Orvosi hetilap
pub_type: 临床试验,杂志文章,多中心研究
doi:
更新日期:2003-01-05 00:00:00
abstract:UNLABELLED:Whole-body polarized light therapy has been primarily investigated in various clinical observations and in a few in vitro model systems. AIMS:In the present study, clinical and molecular effects of whole-body polarized light treatment on children suffering from recurrent respiratory infection were studied. ...
journal_title:Orvosi hetilap
pub_type: 杂志文章
doi:10.1556/OH.2011.29162
更新日期:2011-09-11 00:00:00
abstract::Introduction: Subtotal petrosectomy (STP) has been known for decades and it is considered being on the borderline between ear and skull-base surgery. Due to its excessive radicalism and adverse effects on hearing, it has been a forgotten surgical technique until recently. Over the last decade, due to its many benefits...
journal_title:Orvosi hetilap
pub_type: 杂志文章
doi:10.1556/650.2020.31691
更新日期:2020-04-01 00:00:00
abstract::The concentration of HbA1c, glycosilated serum proteins and blood glucose were followed up during the first eight postnatal weeks in 10 preterm babies of mean (+/- SD) birthweight and gestational age of 1259 +/- 140 g and 30.2 +/- 2.0 weeks, respectively. Both blood glucose and the glucosilation of proteins remained u...
journal_title:Orvosi hetilap
pub_type: 杂志文章
doi:
更新日期:1992-05-24 00:00:00
abstract::The authors present a case in which a patient, treated with Myleran for chronic myeloid leukaemia showed tumour like changes in the lung. They stress the differential diagnostic difficulties and the importance of histological diagnosis. This case proves that with discontinuation of the therapy the lung change may be r...
journal_title:Orvosi hetilap
pub_type: 杂志文章
doi:
更新日期:1993-03-28 00:00:00
abstract::The common European viper is widespread throughout Europe. In Hungary it can be found mainly in the Zemplén Mountains, on the upper course of the Tisza River, and Zala and Somogy counties. Viper's bite is one of the rarest injuries that requires emergency medical care. The venom contains polypeptides and hydrolytic en...
journal_title:Orvosi hetilap
pub_type: 杂志文章
doi:10.1556/OH.2011.29213
更新日期:2011-10-09 00:00:00
abstract::The authors report the first Hungarian case of electrocardiographic Osborn wave with accidental hypothermia (core temperature 32 degrees C). The cellular and ionic mechanisms of the development of J-wave-elevation and the cardiac electrophysiological and ECG changes caused by hypothermia are briefly reviewed. An accou...
journal_title:Orvosi hetilap
pub_type: 杂志文章
doi:
更新日期:2000-10-22 00:00:00
abstract::Solid organ transplantation is the standard of care for selected patients with severe vital organ dysfunction. The need for immunosuppression to prevent organ rejection is a common characteristic of recipients. Immunosuppression increases the risk of infections, especially with low virulence opportunistic pathogens. I...
journal_title:Orvosi hetilap
pub_type: 杂志文章,评审
doi:10.1556/OH.2012.29395
更新日期:2012-06-10 00:00:00
abstract::Anabolic steroids and creatine supplementation is one of the current abuse used by body builders. It is less known that this combination beside of many deleterious effects may also cause renal damage. Authors report a case of diffuse membranoproliferative glomerulonephritis type I in a 22-year-old man who had been tak...
journal_title:Orvosi hetilap
pub_type: 杂志文章
doi:
更新日期:2003-12-07 00:00:00
abstract::During the first 3 months of the full-time lactation the level of the lipid and lipoprotein fractions does not change in the mother's blood. The levonorgestrel contraceptive pills taken during the lactation do not influence considerably the lipid-metabolism either. There is only one minute deviation in the levonorgest...
journal_title:Orvosi hetilap
pub_type: 杂志文章
doi:
更新日期:1992-02-09 00:00:00
abstract::Following the failure of conventional diagnostic procedures, whole-body FDG-PET investigations were carried out in 42 metastatic cancer patients to localize occult primary carcinomas. During the clinical follow-up, the presence of malignant tumor was ruled out in 3 cases, and 2 patients originally believed to have car...
journal_title:Orvosi hetilap
pub_type: 杂志文章
doi:
更新日期:2002-05-26 00:00:00
abstract:INTRODUCTION:Although orbital compartment syndrome is a rare condition, it is still the most common cause of blindness following simple or complicated facial fractures. Its pathomechanism is similar to the compartment syndrome in the limb. Little extra fluid (blood, oedema, brain, foreign body) in a non-space yielding ...
journal_title:Orvosi hetilap
pub_type: 杂志文章
doi:10.1556/650.2017.30850
更新日期:2017-09-01 00:00:00
abstract::Depending on the personal attitude toward a given style and performance, music can influence mental activities such as emotion, mood, motivation, psychomotor tempo and possibly cognition. Experimental data indicate that music can alter physiological parameters of somatic functions (blood pressure, heart rhythm, periph...
journal_title:Orvosi hetilap
pub_type: 杂志文章
doi:10.1556/650.2019.31323
更新日期:2019-03-01 00:00:00
abstract::Due to the rapidly increasing number of end-stage renal disease patients and the high costs of their treatment, all the aspects of kidney disease that may significantly affect clinical outcome (quality of life mortality) deserve increasing attention. It has been established and accepted that in addition to clinical/so...
journal_title:Orvosi hetilap
pub_type: 杂志文章,评审
doi:10.1556/OH.2009.28586
更新日期:2009-03-29 00:00:00
abstract::The authors examined the characteristics of old suicide attempters (over 65 years) with special regard to organic and depressive disorders and sociodemographic features. Within the framework of the WHO/EURO Multicentre Study on Parasuicide data of 849 suicide attempts were collected during three years. Comparing old a...
journal_title:Orvosi hetilap
pub_type: 杂志文章,多中心研究
doi:
更新日期:2001-06-03 00:00:00
abstract:INTRODUCTION AND AIM:To implement lipiodol as a fiducial marker of the tumor bed for image-guided radiotherapy with simultaneous integrated boost technique as part of radiochemotherapy for muscle invasive bladder tumors. METHOD:Since April 2016, radiochemotherapy was performed in 3 male patients with muscle invasive, ...
journal_title:Orvosi hetilap
pub_type: 杂志文章
doi:10.1556/650.2017.30904
更新日期:2017-12-01 00:00:00
abstract::Extracellular vesicles are produced in all organisms. The most intensively investigated categories of extracellular vesicles include apoptotic bodies, microvesicles and exosomes. Among a very wide range of areas, their role has been confirmed in intercellular communication, immune response and angiogenesis (in both ph...
journal_title:Orvosi hetilap
pub_type: 杂志文章,评审
doi:10.1556/650.2016.30532
更新日期:2016-08-01 00:00:00
abstract::We have performed the first laparoscopic appendectomy in Hungary. Laparoscopic appendectomy is a new, minimally invasive method in abdominal surgery. We consider it a worthwhile alternative to classical appendectomy. ...
journal_title:Orvosi hetilap
pub_type: 杂志文章
doi:
更新日期:1992-03-08 00:00:00
abstract::The well-known psychoactive drug widely used in the daily clinical praxis, the piracetam has many therapeutical indications. The drug is extensively applied in the therapy of ischaemic stroke, aphasy as well as of dementias of several origins and age-depending cognitive disturbances. One of the most important effect o...
journal_title:Orvosi hetilap
pub_type: 杂志文章,评审
doi:
更新日期:2002-05-19 00:00:00
abstract::The oxygen uptake of the living organism through the cardiorespiratory system is one of the most basic physiological procedures, and the capacity for the oxygen uptake is an important parameter of both the health and the performance of the living organism. During the past decade several experiments have been performed...
journal_title:Orvosi hetilap
pub_type: 杂志文章
doi:10.1556/OH.2009.28435
更新日期:2009-01-25 00:00:00
abstract::In many countries osteoporosis is the most common metabolic bone diseases. A great deal is known about the pathophysiology and the treatment of the disease. There is a lot of treatment possibilities and many new treatments are being tested. Therapeutic agents for osteoporosis are correspondingly classified as substanc...
journal_title:Orvosi hetilap
pub_type: 杂志文章,评审
doi:
更新日期:1999-09-19 00:00:00
abstract::Since its introduction in 1976, the impact factor is permanently a subject of both criticism and glorification. This paper gives an overview on what actually the reservations and objections attack. A closer look often reveals that the criticisms are not against the specific substantial features of the impact factor. T...
journal_title:Orvosi hetilap
pub_type: 杂志文章
doi:10.1556/650.2015.30212
更新日期:2015-06-28 00:00:00
abstract:BACKGROUND:Meta-analyses evaluated several aspects of Helicobacter pylori eradication based on the randomised controlled trials. AIM:to perform a meta-analysis of the papers presented at the European Helicobacter Pylori Study Group and United European Gastroenterology Week meetings from 1997 to 2002. METHODS:Abstract...
journal_title:Orvosi hetilap
pub_type: 杂志文章,meta分析
doi:
更新日期:2004-10-03 00:00:00
abstract::PET produces images of physiological functions at molecular level which can be used to measure different vital processes, including blood flow and perfusion, glucose metabolism, oxygen utilization and receptor-ligand binding rates. Unlike anatomical imaging modalities, such as CT and MR, PET allows for the assessment ...
journal_title:Orvosi hetilap
pub_type: 杂志文章,评审
doi:
更新日期:2002-05-26 00:00:00
abstract::The effect of a once a day dose one or one and a half mg bopindolol on mild to moderate hypertensive patients was studied. During the treatment the changes in blood pressure, heart rate, serum triglyceride, cholesterin, HDL cholesterin were examined. The drug was given as monotherapy to 9 previously untreated patients...
journal_title:Orvosi hetilap
pub_type: 临床试验,杂志文章
doi:
更新日期:1991-09-29 00:00:00
abstract::The efficacy of the treatment of hepatic malignancies has improved, mostly due to the physical procedures which affect the tumors locally. The authors performed 210 radio-frequency ablations in 1.38 patients. They recommend this procedure based on their experiences. RF treatment is performed together with other therap...
journal_title:Orvosi hetilap
pub_type: 杂志文章
doi:
更新日期:2004-02-15 00:00:00
abstract::Introduction and aim: The aim of this study was to implement a two-stage diabetes screening programme in a severely disadvantaged municipality. In the first stage, diabetes risk assessment was carried out in the 18 to 75 age group, followed by screening of the high risk population for potential carbohydrate metabolism...
journal_title:Orvosi hetilap
pub_type: 杂志文章
doi:10.1556/650.2019.31573
更新日期:2019-12-01 00:00:00
abstract::The case of a chronic myelogenous leukemia (CML) starting in an unusual form in a young woman is reported. Rapidly progressing icterus was the first and leading symptom of the disease. Simultaneously with the exclusion of the possibility of hepatitis and extrahepatic obstruction of the bile duct the qualitative blood ...
journal_title:Orvosi hetilap
pub_type: 杂志文章
doi:
更新日期:1989-10-22 00:00:00