检索结果-南通市图书馆

esophageal strictures during Treatment with a Proton Pump Inhibitor

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Open Journal of Pediatrics 2015年第1期5卷 1-6页

作者： Einar Arnbjornsson Torbjorn Backman Department of Pediatric Surgery Skane University HospitalLundSweden The Institution of Clinical Research Lund UniversityLundSweden

Background: The development of esophageal stricture during treatment with high dose chemotherapeutic agents is well known and documented in the literature. With the introduction of proton pumps inhibitors (PPI), the gastroesophageal reflux disease (GERD) induced stricture has shown significant improvement. The aim of this report is to remind of the fact that the chemotherapy induced strictures show poor response and their treatment is still a challenge. Case presentation: Here, we reported a boy with Down syndrome and congenital heart disease who developed acute lymphoblastic leukemia and subsequent esophageal stricture during treatment with a PPI. Conclusion: It is important to be aware of this potential complication of gastroesophageal reflux or antineoplastic treatment, even in cases thought to be adequately treated with a proton pump inhibitor, and that the start of PPI’s is also the start of an evaluation of the use of this medication.

关键词： Gastroesophageal Reflux(GER) Omeprazole Esophagitis esophageal stricture Proton Pump Inhibitor(PPI) An Antineoplastic Treatment

Predictors of outcomes of endoscopic balloon dilatation in strictures after esophageal atresia repair: A retrospective study

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Gastroenterology 2020年第10期26卷 1080-1087页

作者： Dong-Ling Dai Chen-Xi Zhang Yi-Gui Zou Qing-Hua Yang Yu Zou Fei-Qiu Wen Department of Gastroenterology Shenzhen Children’s Hospital

BACKGROUND Endoscopic balloon dilatation (EBD) has become the first line of therapy for benign esophageal strictures (ESs);however,there are few publications about the predictive factors for the outcomes of this *** To assess the predictive factors for the outcomes of EBD treatment for strictures after esophageal atresia (EA) *** Children with anastomotic ES after thoracoscopic esophageal atresia repair treated by EBD from January 2012 to December 2016 were *** procedures were performed under tracheal intubation and intravenous anesthesia using a three-grade controlled radial expansion balloon with *** were recorded and predictors of the outcomes were *** A total of 64 patients were included in this *** rates of response,complications,and recurrence were 96.77%,8.06%,and 2.33%,*** number of dilatation sessions and complications were significantly higher in patients with a smaller stricture diameter (P=0.013 and 0.023,respectively) and with more than one stricture (P=0.014 and 0.004,respectively).The length of the stricture was significantly associated with complications of EBD (P=0.001).A longer interval between surgery and the first dilatation was related to more sessions and a poorer response (P=0.017 and 0.024,respectively).CONCLUSION The diameter,length,and number of strictures are the most important predictive factors for the clinical outcomes of endoscopic balloon dilatation in pediatric *** interval between surgery and the first EBD is another factor affectingresponse and the number of sessions of dilatation.

关键词： Children Endoscopic balloon dilatation esophageal stricture Outcome Predictor

Successful endoscopic removal of three embedded esophageal self-expanding metal stents

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Gastrointestinal Endoscopy 2017年第9期9卷 494-498页

作者： Xiao-Qin Liu Min Zhou Wen-Xin Shi Yi-Ying Qi Hui Liu Bin Li Hong-Wei Xu Department of Gastroenterology Shandong Provincial Hospital Affliated to Shandong UniversityJinan 250021Shandong ProvinceChina

In the report,we describe a case of refractory benign esophageal strictures from esophageal cancer after an operation for the placement of three partially covered self-expanding metal stents (SEMSs),which were all embedded in the esophageal *** the stentin-stent technique,the three embedded SEMSs were successfully removed without significant *** the best of our knowledge,few cases of the successful removal of multiple embedded esophageal SEMSs have been reported in the *** case also highlights that the stent-in-stent technique is effective for removing multiple embedded esophageal SEMSs.

关键词： esophageal stricture Self-expanding metal stent Multiple Stent-in-stent Gastroscopy

Superior mesenteric artery syndrome in a patient with esophageal stenosis: A case report

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Surgical Procedures 2022年第2期12卷 13-19页

作者： Luise Cristina Torres Rubim de Barros Barbara Moreira Ribeiro Trindade dos Santos Gustavo de Sousa Arantes Ferreira Vitoria Mikaelly da Silva Gomes Lorenna Paulinelli Bahia Vieira Department of General Surgery Hospital de Clinicas da Universidade Federal de Minas GeraisBelo Horizonte 31710350Minas GeraisBrazil Department of Liver Transplantation Instituto de Cardiologia do Distrito FederalBrasilia 70658-700Distrito FederalBrazil Department of General Surgery Hospital Metropolitano Doutor Celio de CastroBelo Horizonte 30620090Minas GeraisBrazil

BACKGROUND Superior mesenteric artery syndrome(SMAS)is a rare condition,characterized by duodenal obstruction caused by compression of its third part by the superior mesenteric artery(SMA).Most cases of SMAS are associated with weight loss,and the most frequent clinical manifestations are nausea,vomiting,postprandial fullness,and abdominal *** of SMAS is usually conservative,consisting mainly of adequate nutritional support,but in refractory cases surgery may be necessary,with gastrojejunostomy and duodenojejunostomy being the most commonly performed *** SUMMARY We describe the case of a man in his forties with a pre-existing diagnosis of esophageal stricture due to sodium hydroxide ingestion,who suffered significant weight loss after replacement of his jejunostomy *** was admitted to the hospital due to pain and abdominal distension.A computerized tomography scan showed significant distension of the stomach and duodenum with narrowing of the duodenum at the point at which it is crossed by the superior mesenteric artery,thus establishing the diagnosis of *** to the presence of the esophageal stricture,the patient was incapable of emesis;however,passage of a nasogastric tube for decompression was not *** the risk of gastric perforation due to distention,we opted for surgical treatment in the form of a surgical gastrojejunostomy after which he showed complete resolution of all symptoms and was discharged from the hospital 5 d after the *** Diagnosis of SMAS can be challenging in patients with esophageal stenosis,and risk of gastric perforation may preclude conservative treatment.

关键词： Superior mesenteric artery syndrome Duodenal obstruction Wilkie’s syndrome esophageal stricture esophageal stenosis Case report