RESUMO
The development of endoscopic techniques of surgery of patients with early gastric cancer (high and moderately differentiated adenocarcinoma) by endoscopic mucosal resection and endoscopic submucosal dissection with regard to their minimally invasion, high efficiency and quality of life after treatment allowed seriously establishing itself and be accepted for use in worldwide.
Assuntos
Adenocarcinoma/diagnóstico , Adenocarcinoma/cirurgia , Mucosa Gástrica/patologia , Mucosa Gástrica/cirurgia , Gastroscopia , Qualidade de Vida , Neoplasias Gástricas/diagnóstico , Neoplasias Gástricas/cirurgia , Adenocarcinoma/patologia , Adulto , Idoso , Endossonografia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Neoplasias Gástricas/patologia , Tomografia Computadorizada por Raios X , Resultado do TratamentoRESUMO
The authors present results of examination and treatment of 272 patients with Zenker diverticulums of different localization. Features and problems in fibroesophagoscopy in patients with Zenker diverticulum are discussed. Surgical interventions with endoscopic assistance were fulfilled in 37 patients with diverticulum. A new way of endoscopic management of Zenker diverticulum using preparation "Disport" and the method of endoscopic incision of cricofaringeal muscle are proposed. Good clinical results of the treatment were obtained.
Assuntos
Toxinas Botulínicas Tipo A/uso terapêutico , Cateterismo/métodos , Transtornos de Deglutição/terapia , Esofagoscopia/métodos , Músculos Faríngeos/cirurgia , Divertículo de Zenker/cirurgia , Fatores Etários , Idoso , Cateterismo/tendências , Transtornos de Deglutição/etiologia , Transtornos de Deglutição/patologia , Esofagoscópios/normas , Esofagoscópios/tendências , Esofagoscopia/normas , Esofagoscopia/tendências , Feminino , Humanos , Masculino , Fármacos Neuromusculares/uso terapêutico , Músculos Faríngeos/patologia , Músculos Faríngeos/fisiopatologia , Recidiva , Fatores Sexuais , Resultado do Tratamento , Divertículo de Zenker/complicações , Divertículo de Zenker/fisiopatologiaRESUMO
Results of endoscopic, ultrasonic and operative treatment of 78 patients aged from 19 through 82 years were analyzed. Endoscopic balloon cardiodilatation was used in 68 patients, in 10 of them it was supplemented with an injection of botulinum toxin in the esophagus wall and operative treatment (6 patients) that resulted in obtaining good and satisfactory results in most patients.