Abstract:
BACKGROUND AND STUDY AIMS:Tumor ingrowth through self-expanding metal stents presents a difficult problem for management. The techniques for treating tumor ingrowth have not yet been well described, and the optimal endoscopic approach is not clear. We have recently used photodynamic therapy (PDT) to treat tumor ingrowth through uncovered nitinol mesh stents. PATIENTS AND METHODS:Four patients (mean age 73) with obstructive adenocarcinomas of the distal esophagus had received self-expanding stents for palliation of their dysphagia. After stent placement, tumor ingrowth had caused progressive dysphagia in all of the patients; the dysphagia was graded on a scale from 0 (normal) to 4 (inability to swallow liquids). All of the patients received PDT treatment. RESULTS:After PDT, excellent palliation of the dysphagia was seen in all of the patients, with a mean improvement in the dysphagia score of 2.25 and a mean dysphagia-free interval of 92 days. There were no major complications. CONCLUSION:The use of PDT to treat tumor ingrowth through self-expanding metal esophageal stents is effective and safe.
journal_name
Endoscopyjournal_title
Endoscopyauthors
Scheider DM,Siemens M,Cirocco M,Haber GB,Kandel G,Kortan P,Marcon NEdoi
10.1055/s-2007-1004188subject
Has Abstractpub_date
1997-05-01 00:00:00pages
271-4issue
4eissn
0013-726Xissn
1438-8812journal_volume
29pub_type
临床试验,杂志文章相关文献
ENDOSCOPY文献大全abstract:BACKGROUND AND AIMS:Push-enteroscopy is well established in many gastroenterological departments. There is no agreement about whether the use of an overtube is helpful to optimize the depth of insertion. In this prospective and randomized study we investigated the effect of the overtube for push-type enteroscopy. PATI...
journal_title:Endoscopy
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1055/s-2001-16208
更新日期:2001-08-01 00:00:00
abstract::Mucinous ductal ectasia (MDE) is an uncommon disease characterized by a patulous duodenal papilla extruding mucus, and a pancreatogram showing dilation with amorphous filling defects, communication of the mass with the pancreatic duct, the mass usually being located in the head of the pancreas. We have recently treate...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2007-1008972
更新日期:1994-03-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:Carbon dioxide (CO2) insufflation during colonoscopy can significantly decrease abdominal pain and bloating after the procedure, but its impact on the frequency and duration of toilet use remains unknown. The aim of this study was to assess the impact of CO2 insufflation on toilet use after sc...
journal_title:Endoscopy
pub_type: 杂志文章,随机对照试验
doi:10.1055/s-0034-1365016
更新日期:2014-03-01 00:00:00
abstract::A 60-year-old man with idiopathic esophageal varices is presented. Endoscopy and endoscopic ultrasonography clearly demonstrated a longitudinal erosion on one of two straight varices. There was no evidence of portal hypertension, and no abnormality in the superior vena cava system. Peritoneoscopy and liver biopsy were...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2007-1012972
更新日期:1989-11-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:To reduce the risk of complications related to the use of knives in endoscopic submucosal dissection (ESD), we developed the Clutch Cutter which can grasp and incise targeted tissue using electrosurgical current, similarly to a biopsy technique. The study aim was to evaluate the efficacy and s...
journal_title:Endoscopy
pub_type: 临床试验,杂志文章
doi:10.1055/s-0033-1344863
更新日期:2013-12-01 00:00:00
abstract:BACKGROUND:Lack of forward-viewing endoscopy experience impairs training in endoscopic retrograde cholangiopancreatography (ERCP). We evaluated the effect of ERCP mechanical simulator (EMS) practice on ERCP performance by surgical trainees. PATIENTS AND METHODS:12 surgical trainees without endoscopy experience were ra...
journal_title:Endoscopy
pub_type: 临床试验,杂志文章
doi:10.1055/a-1217-6727
更新日期:2020-11-01 00:00:00
abstract::Expandable metal biliary stents are reserved for patients with unresectable malignant biliary obstruction. Occasionally, these stents may cause complications necessitating removal. We describe successful endoscopic removal of a biliary Wallstent one year after insertion in a patient who initially underwent placement o...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2000-653
更新日期:2000-06-01 00:00:00
abstract::Background and study aims Complete stone removal from the main pancreatic duct might not be achieved in all patients with obstructive chronic calcific pancreatitis. We report our results for endoscopic dorsal pancreatic duct (DPD) bypass of obstructing stones in the ventral pancreatic duct (VPD). Patients and methods ...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-0042-120996
更新日期:2017-04-01 00:00:00
abstract:BACKGROUND AND STUDY AIM:Cecal intubation rate (CIR) is an established performance indicator of colonoscopy. In some patients, cecal intubation with acceptable tolerance is only achieved with additional sedation. This study proposes a composite Performance Indicator of Colonic Intubation (PICI), which combines CIR, com...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-0043-115897
更新日期:2018-01-01 00:00:00
abstract::A case of accidental oesophageal perforation during endoscopy in an elderly woman with acute alimentary obstruction of a caustic stenosis is presented. This demonstrates the risks in routine use of oblique-viewing endoscopes, especially in oesophageal exploration. The lesion was successfully treated by internal splint...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-0028-1098297
更新日期:1978-08-01 00:00:00
abstract::Endoscopic placement of self-expandable metal stents (SEMS) has emerged as a palliative treatment for patients with malignant gastric outlet obstruction (GOO). Recently, a new partially covered "big cup" SEMS has been developed to prevent both stent migration and tissue ingrowth. The aim of the study was to evaluate s...
journal_title:Endoscopy
pub_type: 临床试验,杂志文章
doi:10.1055/s-0033-1359023
更新日期:2014-02-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:An indocyanine green derivative (ICG-sulfo-OSu) that can be used as an infrared fluorescent labeling substance suitable for detecting microlesions with an infrared fluorescence endoscope has been developed. The aims of the present study were to develop an infrared fluorescence endoscope and to...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2001-17328
更新日期:2001-10-01 00:00:00
abstract::Three cases of a phytobezoar in B-II-gastrectomy are considered in relation to their development around a suture thread acting as precipitating factor; the bezoar was responsible for the presenting obstructive syndrome. Endoscopic diagnosis and definitive treatment by removal of the bezoar together with the thread aft...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2007-1018607
更新日期:1983-03-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:Endoscopic mucosal resection (EMR) for large colonic laterally spreading tumors (LSTs) is a safe, efficacious, and cost-effective treatment. The most common serious complication is delayed bleeding, which reduces these advantages, but consensus guidelines for large-polyp EMR do not exist. PAT...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-0030-1256346
更新日期:2011-06-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:Gastric cancer remains a common malignant tumor in Japan. The aim of this study was to attempt a quantitative evaluation of the microvascular architecture observed by magnification endoscopy using image analysis, and to investigate whether this method is able to distinguish between gastric can...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2005-870339
更新日期:2005-12-01 00:00:00
abstract::The management of colonoscopic perforations is still evolving. Many now agree to the selective management strategy: Perforations during diagnostic colonoscopy being treated surgically and therapeutic ones treated conservatively. However, patients with diagnostic perforation, if they have clean bowel and no signs of pe...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2007-1001423
更新日期:1998-11-01 00:00:00
abstract::Esophageal lesions are rarely seen in patients with intestinal Behçet's disease. Three patients with esophageal lesions (dissection of esophageal mucosa, esophageal ulcer, esophageal varices) were observed among 15 patients with intestinal Behçet's disease or non-specific simple ulcer (1974-1984). Two-thirds of these ...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2007-1018328
更新日期:1986-03-01 00:00:00
abstract:: ...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/a-0756-8304
更新日期:2019-01-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:The methods of endoscopic ablation of metaplastic and dysplastic areas in Barrett's esophagus so far described, are not satisfactory with respect to efficacy and safety. Therefore we investigated whether photodynamic therapy (PDT) with topical delta-aminolevulinic acid (delta-ALA) leads to abl...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2002-33247
更新日期:2002-08-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:The present study aimed to test the hypothesis that endoscopic sclerotherapy may effectively reduce the occurrence of spasm at the level of the gastric cardia, offering an effective treatment for achalasia. PATIENTS AND METHODS:We prospectively treated 33 achalasia patients by repeated inject...
journal_title:Endoscopy
pub_type: 临床试验,杂志文章
doi:10.1055/s-2007-1005551
更新日期:1996-09-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:In pancreas divisum (PD), endoscopic drainage of the minor papilla is beneficial for patients presenting with acute recurrent pancreatitis, but in cases of chronic pancreatitis, surgery is claimed to be indicated. The aim of this study was to evaluate the efficacy of endoscopic stent placement...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2000-650
更新日期:2000-06-01 00:00:00
abstract::We are now finding more malignancies in their early stages than previously. Attempts to ablate these lesions are difficult and do not provide the histological information required to decide on further treatment. Surgery is difficult to justify, as only a minority of lesions are associated with lymph node metastases an...
journal_title:Endoscopy
pub_type: 杂志文章,评审
doi:10.1055/s-2001-16224
更新日期:2001-08-01 00:00:00
abstract::At present, video endoscopic systems (VE) are available from four companies. We have had an opportunity to test these instruments in clinical practice. In principle, all the VE's are similar in that they employ charge coupling devices (CCD-chips) as image sensors, but they differ significantly in CCD chip technology a...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2007-1018255
更新日期:1987-05-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:Endoscopic retrograde cholangiopancreatography (ERCP) is a complex procedure, which requires appropriate sedation. The aim of this prospective, randomized, double-blind study was to compare the quality and characteristics of sedation with midazolam or propofol in patients undergoing ERCP. PAT...
journal_title:Endoscopy
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1055/s-2000-9021
更新日期:2000-09-01 00:00:00
abstract::The European Society of Gastrointestinal Endoscopy and United European Gastroenterology present a short list of key performance measures for endoscopic ultrasound (EUS) and endoscopic retrograde cholangiopancreatography (ERCP). We recommend that endoscopy services across Europe adopt the following seven key and one mi...
journal_title:Endoscopy
pub_type: 杂志文章,实务指引
doi:10.1055/a-0749-8767
更新日期:2018-11-01 00:00:00
abstract:BACKGROUND: A delayed perforation can often occur after endoscopic treatment for duodenal neoplasms and may be fatal due to leakage of pancreatic and bile juices. We aimed to evaluate the feasibility and safety of laparoscopic and endoscopic cooperative surgery for duodenal neoplasms (D-LECS) in a multicenter, retrospe...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/a-1327-5939
更新日期:2020-12-02 00:00:00
abstract:BACKGROUND AND STUDY AIMS:Colonic diverticular hemorrhage is the most common cause of lower intestinal bleeding. We tried to develop a convenient and reliable hemostatic method, endoscopic detachable snare ligation (EDSL), to treat diverticular hemorrhage and retrospectively explored its safety and efficacy. PATIENTS ...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-0034-1392204
更新日期:2015-11-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:Several reports have demonstrated the safety of pure natural-orifice transluminal endoscopic surgery (P-NOTES) using transanal endoscopic microsurgery (TEM) and embryonic NOTES (E-NOTES; laparoscopic surgery through the umbilicus). This study was performed to compare the safety and applicabili...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-0030-1256239
更新日期:2011-06-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:We investigated whether intraductal ultrasonography (IDUS) could distinguish between stage T1 and T2 bile duct cancer. MATERIALS AND METHODS:In-vitro study. Resected bile duct specimens (n = 8) were immersed in a water tank and were pierced with straight pins to clarify the normal layer struc...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2007-1004296
更新日期:1997-10-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:Implantation of iodine-125 ( (125)I) seeds under the guidance of endoscopic ultrasonography (EUS) has been proved to be a safe alternative treatment option for advanced pancreatic cancer. The main purpose of this study was to evaluate the feasibility and safety of EUS-guided radiation of the c...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-0028-1119588
更新日期:2009-04-01 00:00:00