Management of esophageal stenosis:
Gespeichert in:
| Format: | Buch |
|---|---|
| Sprache: | English |
| Veröffentlicht: |
Philadelphia [u.a.]
Saunders
1998
|
| Schriftenreihe: | Gastrointestinal endoscopy clinics of North America
8,2 |
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | XVI S., S. 273 - 528 Ill., graph. Darst. |
Internformat
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| 245 | 1 | 0 | |a Management of esophageal stenosis |c Norman E. Marcon, guest ed. |
| 264 | 1 | |a Philadelphia [u.a.] |b Saunders |c 1998 | |
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| 490 | 1 | |a Gastrointestinal endoscopy clinics of North America |v 8,2 | |
| 650 | 2 | |a Sténose de l'oesophage | |
| 650 | 2 | |a Tumeurs de l'oesophage | |
| 650 | 4 | |a Esophageal Neoplasms | |
| 650 | 4 | |a Esophageal Stenosis | |
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Datensatz im Suchindex
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|---|---|
| adam_text | MANAGEMENT OF ESOPHAGEAL STENOSIS
CONTENTS
Foreword xiii
Charles J. Lightdale
Preface xv
Norman E. Marcon
Reflux Strictures of the Esophagus 273
Wu Hsien Kuo and Anthony N. Kalloo
Gastroesophageal reflux disease (GERD) is the most common
cause of esophageal strictures, accounting for approximately 70%
of all cases. Reflux strictures of the esophagus are serious compli¬
cations of GERD and are associated with a high relapse rate.
Goals of long term management include the relief of dysphagia,
prevention of stricture recurrence, and avoidance of complications
with safe, cost effective therapy. Despite recent advances in
knowledge about GERD, reflux stricture still remains a relatively
common and challenging clinical problem.
Esophageal Strictures: A Radiologic Approach to Diagnosis
and Management 283
David Lautner, Robin Gray, and David Reid
Strictures of the esophagus represent persistent luminal nar¬
rowing following an inflammatory insult to mural tissues or a
manifestation of malignant disease. Barium studies remain the
cornerstone of evaluation of patients with a suspected stricture.
The diagnostic features of the various causes of strictures are
discussed. Balloon dilatation and stent placement, as well as
other radiologic interventions, often have an important role in
GASTROINTESTINAL ENDOSCOPY CLINICS OF NORTH AMERICA
VOLUME 8 • NUMBER 2 • APRIL 1998 vii
the treatment of patients with advanced disease. This article dis¬
cusses the indications and general application of these procedures
as well as the nature and evaluation of the associated complica¬
tions.
Endosonography in the Assessment of Esophageal Stenosis 315
Gregory M. Woolfolk and Maurits J. Wiersema
Esophageal strictures are commonly found during routine en
doscopy and may arise from a primary malignancy metatastic
disease, or benign causes. Endoscopic ultrasound (EUS) with
fine needle aspiration may assist in the evaluation of esophageal
strictures. This article reviews the development of EUS techniques
to investigate esophageal strictures.
Benign Nonpeptic Esophageal Strictures:
Diagnosis and Treatment 329
Larry S. Miller, Wilson Jackson, William McCray,
and Chan Y. Chung
This article studies the causes and treatment of benign nonpeptic
esophageal strictures. The authors also discuss various therapeu¬
tic techniques for esophageal strictures, including esophageal di¬
latation with various dilators and balloons. Although the goals of
stricture therapy are to relieve dysphagia and prevent stricture
reoccurrence, only the first of these goals (effective dilatation
with bougienage or balloon dilatation) has been achieved. The
prevention of stricture reoccurrence remains to be achieved.
Extramucosal Stenosis of the Esophagus 357
Muhammad A. Memon and Whitney F. Jones
Extramucosal lesions of the esophagus compose a small but clini¬
cally important group of diagnoses presenting as stenosis. Be¬
cause of their infrequency, they can present a diagnostic dilemma
in patients with dysphagia, odynophagia, or radiologic abnormal¬
ities on imaging studies. Definitive management is frequently
conservative, consisting of reassurance; definitive surgical man¬
agement, however, may be necessary.
Esophageal Stenosis in Children 369
Ranjan Dohil and Eric Hassall
This article focuses on the special features of esophageal stenosis
which pertain to children. In order to focus on stenoses intrinsic
to the esophagus, esophageal stenosis due to extrinsic compres¬
sion is excluded. While the causes of esophageal stenosis may be
grouped as either congenital or acquired, congenital causes ac¬
count for less than 5% of cases.
viii CONTENTS
Nutritional Aspects of Strictures 391
Isaac Raijman
Esophageal strictures, whether caused by malignant or benign
disease, can be associated with progressive dysphagia and sec¬
ondary malnutrition. From the time of onset of dysphagia, pa¬
tients may adapt by decreasing the amounts and frequency of
meals in an attempt to avoid symptoms. Malnutrition is common
and often undiagnosed in affected patients, especially those in
the hospital, and is associated with impaired organ function,
increased morbidity, and prolongation of hospital stay. It should
be recognized and treated appropriately, because artificial nutri¬
tional support in malnourished patients leads to improvement in
nutritional status and clinical outcome.
Surgery for Peptic Strictures 399
Joseph Mamazza, Christopher M. Schlachta,
and Eric C. Poulin
Benign peptic stricture of the esophagus is a complex disorder
which results from persistent gastroesophageal reflux. Its success¬
ful management depends on an accurate preoperative evaluation
of the stricture and the patient. Surgical management of peptic
strictures can be quite effective in relieving the symptoms and
halting the pathologic gastroesophageal reflux that accompanies
this disorder. This article reviews the general principles of evalua¬
tion and surgical treatment of benign peptic esophageal strictures.
An Overview of the Management of Cancer of the
Esophagus 415
Rene Lambert
The surgical treatment of esophageal cancer concerns a small
percentage of patients with small Stage I or II tumors and a good
performance status. Nonsurgical management with concurrent
radiation and chemotherapy concerns a larger group of patients,
and complete tumor responses have been observed at a significant
rate. This applies to inoperable patients and to operable patients
when there is a relative contraindication or when large malignant
lymph nodes are detected at the preoperative stage. Endoscopic
palliation in monotherapy should be restricted to the smallest
possible number of patients.
Operative Treatment of Malignancy 435
Eric C. Poulin, Christopher M. Schlachta,
and Joseph Mamazza
The overall prognosis of patients afflicted with cancer of the
esophagus is dismal and has not changed greatly over the last
few decades. Improvements have largely been due to better peri
operative care rather than new surgical techniques. There remain,
CONTENTS ix
however, philosophical differences in the surgical community
about the optimal treatment of these patients, and these differ¬
ences are summarized in this article. The principal elements re¬
quired to make an appropriate surgical decision also are outlined.
Until new markers for early detection and effective systematic
therapy emerge, improvement is likely to occur only in subsets
of patients referred early and treated in an environment that
guarantees low operative mortality.
Radiation and Chemotherapy in the Management of
Malignant Esophageal Strictures 451
James D. Brierley and Amit M. Oza
The management of malignant and esophageal strictures with
radiation and chemotherapy is reviewed. There is no evidence to
support the use of adjuvant radiation. Studies demonstrate that
concurrent chemotherapy and radiation are superior to radiation
alone. The trials of preoperative combined chemotherapy and
radiation are discussed, and it is suggested that further studies
are needed before such treatment could be accepted as standard
therapy. The roles of radiation and chemotherapy in palliative
management are briefly discussed, and some potential areas for
further study are proposed.
Nonthermal Ablation of Malignant Esophageal Strictures:
Photodynamic Therapy, Endoscopic Intratumoral
Injections, and Novel Modalities 465
Roxan F. Saidi and Norman E. Marcon
Several novel nonthermal ablative modalities for the palliation of
malignant esophageal stenoses have been developed over the
past decade. In this article, the authors review techniques and
clinical experience with photodynamic therapy as well as the
intratumoral injection of alcohol, cytotoxins, and immunomodula
tors.
Malignant Strictures: Thermal Treatment 493
L. Gossner and C. Ell
Malignant stenoses can occur in any part of the gastrointestinal
tract. Endoscopic treatment options are available, however, only
for the rectosigmoid area, the esophagus, and the esophagocardial
transition. Strictures in the esophageal region represent the quan¬
titatively predominant type of stenoses encountered in everyday
endoscopy.
X CONTENTS
The Use of Stents in the Management of Malignant
Esophageal Strictures 503
Horst Neuhaus
The majority of patients with intrinsic or extrinsic obstructing
esophageal malignancies are not treatable for cure because of an
advanced tumor stage at the time of diagnosis or a recurrence
after primary curative therapy. Palliative treatment is mainly di¬
rected at relieving dysphagia, which is a frequent cause of patient
distress and malnutrition. The approach should be rapidly effec¬
tive, safe, and well tolerated; the period of hospitalization should
be limited in view of a life expectancy of only a few months.
Index 521
Subscription Information Inside back cover
CONTENTS xi
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| spelling | Management of esophageal stenosis Norman E. Marcon, guest ed. Philadelphia [u.a.] Saunders 1998 XVI S., S. 273 - 528 Ill., graph. Darst. txt rdacontent n rdamedia nc rdacarrier Gastrointestinal endoscopy clinics of North America 8,2 Sténose de l'oesophage Tumeurs de l'oesophage Esophageal Neoplasms Esophageal Stenosis (DE-588)4143413-4 Aufsatzsammlung gnd-content Speiseröhrenstenose gnd rswk-swf Speiseröhrenstenose f DE-604 Marcon, Norman E. Sonstige oth Gastrointestinal endoscopy clinics of North America 8,2 (DE-604)BV005455484 8,2 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=008120301&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Management of esophageal stenosis Gastrointestinal endoscopy clinics of North America Sténose de l'oesophage Tumeurs de l'oesophage Esophageal Neoplasms Esophageal Stenosis |
| subject_GND | (DE-588)4143413-4 |
| title | Management of esophageal stenosis |
| title_auth | Management of esophageal stenosis |
| title_exact_search | Management of esophageal stenosis |
| title_full | Management of esophageal stenosis Norman E. Marcon, guest ed. |
| title_fullStr | Management of esophageal stenosis Norman E. Marcon, guest ed. |
| title_full_unstemmed | Management of esophageal stenosis Norman E. Marcon, guest ed. |
| title_short | Management of esophageal stenosis |
| title_sort | management of esophageal stenosis |
| topic | Sténose de l'oesophage Tumeurs de l'oesophage Esophageal Neoplasms Esophageal Stenosis |
| topic_facet | Sténose de l'oesophage Tumeurs de l'oesophage Esophageal Neoplasms Esophageal Stenosis Aufsatzsammlung Speiseröhrenstenose |
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