Photodynamic therapy for the treatment of tumor ingrowth in expandable esophageal stents.

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

Endoscopy

journal_title

Endoscopy

authors

Scheider DM,Siemens M,Cirocco M,Haber GB,Kandel G,Kortan P,Marcon NE

doi

10.1055/s-2007-1004188

subject

Has Abstract

pub_date

1997-05-01 00:00:00

pages

271-4

issue

4

eissn

0013-726X

issn

1438-8812

journal_volume

29

pub_type

临床试验,杂志文章
  • Do we need the overtube for push-enteroscopy?

    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

    authors: Benz C,Jakobs R,Riemann JF

    更新日期:2001-08-01 00:00:00

  • Mucinous ductal ectasia: cholangiopancreatographic and endoscopic findings.

    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

    authors: Raijman I,Kortan P,Walden D,Kandel G,Marcon NE,Haber GB

    更新日期:1994-03-01 00:00:00

  • Carbon dioxide insufflation can significantly reduce toilet use after colonoscopy: a double-blind randomized controlled trial.

    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

    authors: Hsu WF,Hu WH,Chen YN,Lai HH,Chen MK,Chang LC,Tu CH,Chou CK,Wang HP,Wu MS,Chiu HM

    更新日期:2014-03-01 00:00:00

  • Idiopathic esophageal varices with longitudinal erosion.

    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

    authors: Motoo Y,Okai T,Ohta H,Matsui O,Sawabu N

    更新日期:1989-11-01 00:00:00

  • Endoscopic submucosal dissection using the "Clutch Cutter" for early esophageal squamous cell carcinoma.

    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

    authors: Akahoshi K,Minoda Y,Komori K,Motomura Y,Kubokawa M,Otsuka Y,Hamada S,Fukuda S,Iwao R,Gibo J,Oya M,Nakamura K

    更新日期:2013-12-01 00:00:00

  • Impact of mechanical simulator practice on clinical ERCP performance by novice surgical trainees: a randomized controlled trial.

    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

    authors: Meng W,Yue P,Leung JW,Wang H,Wang X,Wang F,Zhu K,Zhang L,Zhu X,Wang Z,Zhang H,Zhou W,Li X

    更新日期:2020-11-01 00:00:00

  • Endoscopic removal of an embedded biliary Wallstent by piecemeal extraction.

    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

    authors: Egan LJ,Baron TH

    更新日期:2000-06-01 00:00:00

  • Clinical response to dorsal duct drainage via the minor papilla in refractory obstructing chronic calcific pancreatitis.

    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

    authors: Kwon CI,Gromski MA,Sherman S,El Hajj II,Easler JJ,Watkins J,McHenry L,Lehman GA,Fogel EL

    更新日期:2017-04-01 00:00:00

  • A new composite measure of colonoscopy: the Performance Indicator of Colonic Intubation (PICI).

    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

    authors: Valori RM,Damery S,Gavin DR,Anderson JT,Donnelly MT,Williams JG,Swarbrick ET

    更新日期:2018-01-01 00:00:00

  • Perforation of the oesophagus with an oblique--viewing endoscope in a patient with caustic stenosis.

    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

    authors: Starlinger M,Dinstl K,Schiessel R

    更新日期:1978-08-01 00:00:00

  • High proximal migration rate of a partially covered "big cup" duodenal stent in patients with malignant gastric outlet obstruction.

    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

    authors: van den Berg MW,Walter D,Vleggaar FP,Siersema PD,Fockens P,van Hooft JE

    更新日期:2014-02-01 00:00:00

  • Detection of human gastric cancer in resected specimens using a novel infrared fluorescent anti-human carcinoembryonic antigen antibody with an infrared fluorescence endoscope in vitro.

    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

    authors: Ito S,Muguruma N,Kusaka Y,Tadatsu M,Inayama K,Musashi Y,Yano M,Bando T,Honda H,Shimizu I,Ii K,Takesako K,Takeuchi H,Shibamura S

    更新日期:2001-10-01 00:00:00

  • Obstructive syndrome due to a bezoar in a B-II gastric stump. Endoscopic treatment.

    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

    authors: Ishioka S,Sakai P,Regis OE,Filho UL,Pinotti HW

    更新日期:1983-03-01 00:00:00

  • Factors that predict bleeding following endoscopic mucosal resection of large colonic lesions.

    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

    authors: Metz AJ,Bourke MJ,Moss A,Williams SJ,Swan MP,Byth K

    更新日期:2011-06-01 00:00:00

  • Quantitative analysis of the microvascular architecture observed on magnification endoscopy in cancerous and benign gastric lesions.

    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

    authors: Ohashi A,Niwa Y,Ohmiya N,Miyahara R,Itoh A,Hirooka Y,Goto H

    更新日期:2005-12-01 00:00:00

  • Conservative management of colonoscopic perforation can be misleading.

    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

    authors: Soliman A,Grundman M

    更新日期:1998-11-01 00:00:00

  • Esophageal lesions in intestinal Behçet's disease.

    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

    authors: Yashiro K,Nagasako K,Hasegawa K,Maruyama M,Suzuki S,Obata H

    更新日期:1986-03-01 00:00:00

  • "Candy cane" syndrome: a report of a mini-invasive endoscopic treatment using OverStitch, a novel endoluminal suturing system.

    abstract:: ...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/a-0756-8304

    authors: Granata A,Cicchese N,Amata M,De Monte L,Bertani A,Ligresti D,Traina M

    更新日期:2019-01-01 00:00:00

  • Is topical delta-aminolevulinic acid adequate for photodynamic therapy in Barrett's esophagus? A pilot study.

    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

    authors: Ortner M-,Zumbusch K,Liebetruth J,Ebert B,Fleige B,Dietel M,Lochs H

    更新日期:2002-08-01 00:00:00

  • Endoscopic injection of ethanolamine as a treatment for achalasia: a first report.

    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

    authors: Moretó M,Ojembarrena E,Rodríguez ML

    更新日期:1996-09-01 00:00:00

  • Long-term outcome of endoscopic stent placement for chronic pancreatitis associated with pancreas divisum.

    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

    authors: Boerma D,Huibregtse K,Gulik TM,Rauws EA,Obertop H,Gouma DJ

    更新日期:2000-06-01 00:00:00

  • Endoscopic mucosal resection.

    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

    authors: Rembacken BJ,Gotoda T,Fujii T,Axon AT

    更新日期:2001-08-01 00:00:00

  • Electronic endoscopy--the latest technology.

    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

    authors: Classen M,Knyrim K,Seidlitz HK,Hagenmüller F

    更新日期:1987-05-01 00:00:00

  • Propofol versus midazolam for conscious sedation guided by processed EEG during endoscopic retrograde cholangiopancreatography: a prospective, randomized, double-blind study.

    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

    authors: Krugliak P,Ziff B,Rusabrov Y,Rosenthal A,Fich A,Gurman GM

    更新日期:2000-09-01 00:00:00

  • Performance measures for ERCP and endoscopic ultrasound: a European Society of Gastrointestinal Endoscopy (ESGE) Quality Improvement Initiative.

    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

    authors: Domagk D,Oppong KW,Aabakken L,Czakó L,Gyökeres T,Manes G,Meier P,Poley JW,Ponchon T,Tringali A,Bellisario C,Minozzi S,Senore C,Bennett C,Bretthauer M,Hassan C,Kaminski MF,Dinis-Ribeiro M,Rees CJ,Spada C,Valori R,

    更新日期:2018-11-01 00:00:00

  • Safety and feasibility of laparoscopic and endoscopic cooperative surgery for duodenal neoplasm: A retrospective multicenter study.

    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

    authors: Nunobe S,Ri M,Yamazaki K,Uraoka M,Ohata K,Kitazono I,Terashima M,Yamagata Y,Tanabe S,Abe N,Tsuji T,Niimi K,Kawakubo H,Tsukada T,Kitashiro S,Ishizuka N,Hiki N

    更新日期:2020-12-02 00:00:00

  • Endoscopic detachable snare ligation: a new treatment method for colonic diverticular hemorrhage.

    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

    authors: Akutsu D,Narasaka T,Wakayama M,Terasaki M,Kaneko T,Matsui H,Suzuki H,Hyodo I,Mizokami Y

    更新日期:2015-11-01 00:00:00

  • Comparative study of NOTES rectosigmoidectomy in a swine model: E-NOTES vs. P-NOTES.

    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

    authors: Sohn DK,Jeong SY,Park JW,Kim JS,Hwang JH,Kim DW,Kang SB,Oh JH

    更新日期:2011-06-01 00:00:00

  • Limitations of intraductal ultrasonography in differentiating between bile duct cancer in stage T1 and stage T2: in-vitro and in-vivo studies.

    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

    authors: Tamada K,Kanai N,Ueno N,Ichiyama M,Tomiyama T,Wada S,Oohashi A,Nishizono T,Tano S,Aizawa T,Ido K,Kimura K

    更新日期:1997-10-01 00:00:00

  • Evaluation of endoscopic-ultrasound-guided celiac ganglion irradiation with iodine-125 seeds: a pilot study in a porcine model.

    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

    authors: Wang K,Jin Z,Du Y,Chen J,Zhan X,Wang L,Li Z,Zou D,Liu Y

    更新日期:2009-04-01 00:00:00