Self-expanding endoprostheses in concomitant esophageal and pre-pyloric malignancies
Autor(a) principal: | |
---|---|
Data de Publicação: | 2008 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | HU Revista (Online) |
Texto Completo: | https://periodicos.ufjf.br/index.php/hurevista/article/view/74 |
Resumo: | Self-expanding endoprostheses are well established and minimally invasive devices used to re-establish patency of the gastrointestinal tract. Before their development, patency could only be re-established through palliative surgery, a procedure that though still the gold standard, caries significant risk and increases morbidity and mortality rates. Management of localized tumors with multiple prostheses is still rarely reported in the literature. We report a 92-year-old women with anemia of unknown origin and progressive dysphagia. Endoscopy revealed an infiltrative lesion of the esophagus along with ulcerated vegetative lesions of gastric body and antrum. Gastric hemorrhage was endoscopically controlled. The family initially agreed with the introduction of a self-expanding prosthesis in the esophagus alone. On re-evaluation one month later the possibility of gastric obstruction was discussed and the introduction of a pre-pyloric endoprosthesis was agreed upon. Significant improvement in life quality was observed in the last nine months of survival following introduction of the second prosthesis. |
id |
UFJF-8_e538faeafe53416626677bcc6102abfa |
---|---|
oai_identifier_str |
oai:periodicos.ufjf.br:article/74 |
network_acronym_str |
UFJF-8 |
network_name_str |
HU Revista (Online) |
repository_id_str |
|
spelling |
Self-expanding endoprostheses in concomitant esophageal and pre-pyloric malignanciesUtilização de endopróteses auto-expansíveis em tumores concomitantes de esôfago e região pré-pilóricaEndoscopiaPróteses e ImplantesNeoplasiasSelf-expanding endoprostheses are well established and minimally invasive devices used to re-establish patency of the gastrointestinal tract. Before their development, patency could only be re-established through palliative surgery, a procedure that though still the gold standard, caries significant risk and increases morbidity and mortality rates. Management of localized tumors with multiple prostheses is still rarely reported in the literature. We report a 92-year-old women with anemia of unknown origin and progressive dysphagia. Endoscopy revealed an infiltrative lesion of the esophagus along with ulcerated vegetative lesions of gastric body and antrum. Gastric hemorrhage was endoscopically controlled. The family initially agreed with the introduction of a self-expanding prosthesis in the esophagus alone. On re-evaluation one month later the possibility of gastric obstruction was discussed and the introduction of a pre-pyloric endoprosthesis was agreed upon. Significant improvement in life quality was observed in the last nine months of survival following introduction of the second prosthesis.Endopróteses auto-expansíveis são dispositivos utilizados com objetivo de restituir a patência da luz do Trato Gastrointestinal, sendo consideradas ferramentas bem estabelecidas e minimamente invasivas. Antes de seu desenvolvimento, o único meio para a restituição da continuidade do trânsito era através de cirurgia paliativa, que, embora ainda considerada padrão-ouro, não é isenta de riscos, podendo acarretar aumento nas taxas de morbidade e mortalidade. A utilização de múltiplas próteses na abordagem de tumores localizados em pontos distintos é rara, sendo poucos os casos relatados na literatura. Relatamos o caso de uma paciente de 92 anos com quadro de anemia de etiologia desconhecida e disfagia progressiva. Ao exame endoscópico, observou-se lesão infiltrante de esôfago e lesões vegetantes ulceradas em corpo e antro. Procedeu-se ao controle endoscópico da hemorragia gástrica. A família autorizou a introdução de endoprótese auto-expansível somente no esôfago inicialmente. Contudo, após nova reavaliação e explicação da possibilidade de obstrução gástrica, procedeu-se, um mês após, à colocação de endoprótese também na região pré-pilórica. Durante os últimos nove meses de sobrevida depois da introdução da segunda prótese, observou-se melhora importante da qualidade de vida da paciente.Editora UFJF2008-01-29info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionRelCasapplication/pdfhttps://periodicos.ufjf.br/index.php/hurevista/article/view/74HU Revista; v. 33 n. 4 (2007); 133-1361982-80470103-3123reponame:HU Revista (Online)instname:Universidade Federal de Juiz de Fora (UFJF)instacron:UFJFporhttps://periodicos.ufjf.br/index.php/hurevista/article/view/74/54Girardin Pimentel, Carolina Frade MagalhãesBrandão Pinto, Carolina de MendonçaNeves, Priscilla OrnellasVieira de Castro, Lincoln Eduardo VillelaPaula, Gustavo Andrade deOliveira, Alexandre Martins deinfo:eu-repo/semantics/openAccess2023-05-04T03:53:16Zoai:periodicos.ufjf.br:article/74Revistahttps://periodicos.ufjf.br/index.php/hurevistaPUBhttps://periodicos.ufjf.br/index.php/hurevista/oairevista.hurevista@ufjf.edu.br1982-80470103-3123opendoar:2023-05-04T03:53:16HU Revista (Online) - Universidade Federal de Juiz de Fora (UFJF)false |
dc.title.none.fl_str_mv |
Self-expanding endoprostheses in concomitant esophageal and pre-pyloric malignancies Utilização de endopróteses auto-expansíveis em tumores concomitantes de esôfago e região pré-pilórica |
title |
Self-expanding endoprostheses in concomitant esophageal and pre-pyloric malignancies |
spellingShingle |
Self-expanding endoprostheses in concomitant esophageal and pre-pyloric malignancies Girardin Pimentel, Carolina Frade Magalhães Endoscopia Próteses e Implantes Neoplasias |
title_short |
Self-expanding endoprostheses in concomitant esophageal and pre-pyloric malignancies |
title_full |
Self-expanding endoprostheses in concomitant esophageal and pre-pyloric malignancies |
title_fullStr |
Self-expanding endoprostheses in concomitant esophageal and pre-pyloric malignancies |
title_full_unstemmed |
Self-expanding endoprostheses in concomitant esophageal and pre-pyloric malignancies |
title_sort |
Self-expanding endoprostheses in concomitant esophageal and pre-pyloric malignancies |
author |
Girardin Pimentel, Carolina Frade Magalhães |
author_facet |
Girardin Pimentel, Carolina Frade Magalhães Brandão Pinto, Carolina de Mendonça Neves, Priscilla Ornellas Vieira de Castro, Lincoln Eduardo Villela Paula, Gustavo Andrade de Oliveira, Alexandre Martins de |
author_role |
author |
author2 |
Brandão Pinto, Carolina de Mendonça Neves, Priscilla Ornellas Vieira de Castro, Lincoln Eduardo Villela Paula, Gustavo Andrade de Oliveira, Alexandre Martins de |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Girardin Pimentel, Carolina Frade Magalhães Brandão Pinto, Carolina de Mendonça Neves, Priscilla Ornellas Vieira de Castro, Lincoln Eduardo Villela Paula, Gustavo Andrade de Oliveira, Alexandre Martins de |
dc.subject.por.fl_str_mv |
Endoscopia Próteses e Implantes Neoplasias |
topic |
Endoscopia Próteses e Implantes Neoplasias |
description |
Self-expanding endoprostheses are well established and minimally invasive devices used to re-establish patency of the gastrointestinal tract. Before their development, patency could only be re-established through palliative surgery, a procedure that though still the gold standard, caries significant risk and increases morbidity and mortality rates. Management of localized tumors with multiple prostheses is still rarely reported in the literature. We report a 92-year-old women with anemia of unknown origin and progressive dysphagia. Endoscopy revealed an infiltrative lesion of the esophagus along with ulcerated vegetative lesions of gastric body and antrum. Gastric hemorrhage was endoscopically controlled. The family initially agreed with the introduction of a self-expanding prosthesis in the esophagus alone. On re-evaluation one month later the possibility of gastric obstruction was discussed and the introduction of a pre-pyloric endoprosthesis was agreed upon. Significant improvement in life quality was observed in the last nine months of survival following introduction of the second prosthesis. |
publishDate |
2008 |
dc.date.none.fl_str_mv |
2008-01-29 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion RelCas |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://periodicos.ufjf.br/index.php/hurevista/article/view/74 |
url |
https://periodicos.ufjf.br/index.php/hurevista/article/view/74 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://periodicos.ufjf.br/index.php/hurevista/article/view/74/54 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Editora UFJF |
publisher.none.fl_str_mv |
Editora UFJF |
dc.source.none.fl_str_mv |
HU Revista; v. 33 n. 4 (2007); 133-136 1982-8047 0103-3123 reponame:HU Revista (Online) instname:Universidade Federal de Juiz de Fora (UFJF) instacron:UFJF |
instname_str |
Universidade Federal de Juiz de Fora (UFJF) |
instacron_str |
UFJF |
institution |
UFJF |
reponame_str |
HU Revista (Online) |
collection |
HU Revista (Online) |
repository.name.fl_str_mv |
HU Revista (Online) - Universidade Federal de Juiz de Fora (UFJF) |
repository.mail.fl_str_mv |
revista.hurevista@ufjf.edu.br |
_version_ |
1796798239364612096 |