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摘要:
The best approach to achieve cure in esophageal cancer is a combination of chemo-radiation and surgery.However,complications occur in half of patients.The current report,reports a rare but severe complication:Complete obstruction of the esophagus,induced by preoperative chemo-radiation therapy.Normally,strictures are treated by repeated dilatations,however,in case of complete obstruction,the perforation rate of standard blind anterograde wire access and dilation is severely increased.In order to minimize the risk of perforations,the rendezvous technique was introduced.This technique involves an anterograde approach in combination with a retrograde approach in order to open and dilatate the esophagus.While technical success rates between 83%and 100%have been reported in literature,data on clinical outcomes are scarcer.The limited amount of studies available claim that success was achieved in almost half of patients.The patient in our case currently has an oral diet without restrictions and rates his quality of life with a VAS-score ten out of ten.
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篇名 Surgical treatment of a rare complication after endoscopic stent placement for anastomotic leakage after esophageal resection
来源期刊 世界外科手术杂志 学科 医学
关键词 ESOPHAGEAL cancer ESOPHAGEAL obstruction RENDEZVOUS procedure ANTEROGRADE DILATATION Combined anterograde-retrograde ENDOSCOPIC DILATATION
年,卷(期) 2017,(1) 所属期刊栏目
研究方向 页码范围 1-5
页数 5页 分类号 R
字数 语种
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研究主题发展历程
节点文献
ESOPHAGEAL
cancer
ESOPHAGEAL
obstruction
RENDEZVOUS
procedure
ANTEROGRADE
DILATATION
Combined
anterograde-retrograde
ENDOSCOPIC
DILATATION
研究起点
研究来源
研究分支
研究去脉
引文网络交叉学科
相关学者/机构
期刊影响力
世界外科手术杂志
不定期
2219-2832
北京市朝阳区东四环中路62号楼远洋国际中
出版文献量(篇)
61
总下载数(次)
0
总被引数(次)
0
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