scholarly journals Stenting of esophageal anastomosis

2018 ◽  
Keyword(s):  
Anastomotic Leakage ◽  
Balloon Dilatation ◽  
Anastomotic Stricture ◽  
Intestinal Anastomosis ◽  
Cancer Of The Stomach ◽  
Esophageal Anastomosis ◽  
Invasive Method ◽  
Methods Of Treatment ◽  
Gastric Anastomosis

This study based on the experience of treatment of 57 patients who previously were operated at the clinic for cancer of the stomach and esophagus. These patients had complications in the form of esophageal anastomotic leakage and esophageal anastomotic stricture. There were 9 patients with esophageal-gastric anastomotic leakage , 11 patients with esophageal - intestinal anastomotic leakage, 20 patients with a stricture of esophageal - gastric anastomosis, 17 patients with a stricture of esophageal - intestinal anastomosis. All the patients were undergone stenting of esophageal anastomosis. The results of using this method of treatment were estimated. Stenting of the esophagus with self-expandable stents with a coating is a method of choice for the treatment of patients with insolvency of esophageal anastomosis and avoids traumatic surgery, especially in weakened patients, as well as helps to save lives in patients with these severe complications. When scarring strictures of esophageal anastomosis, especially when other methods of treatment (boughing, balloon dilatation) fail, stenting is also a very effective minimally invasive method that can restore the passage of the gastrointestinal tract and improve the quality of life of the patient, as well as an alternative to traumatic surgery to correct stricture of esophageal anastomosis.

scholarly journals ENDOSCOPIC TREATMENT OF ESOPHAGEAL ANASTOMOTIC STENOSЕS AND LEAKAGES

2020 ◽  
Vol 7 (2) ◽  
pp. 85-88
Author(s):  
V. Boyko ◽  
I. Belozerov ◽  
O. Kudrevich ◽  
Ye. Novikov ◽  
S. Savvi ◽  
...  
Keyword(s):  
Esophageal Cancer ◽  
Anastomotic Leakage ◽  
Endoscopic Treatment ◽  
Proximal Gastrectomy ◽  
Esophageal Resection ◽  
Anastomotic Stenosis ◽  
Endoscopic Stenting ◽  
Esophageal Anastomosis ◽  
Key Words Gastrectomy ◽  
Methods Of Treatment

Abstract ENDOSCOPIC TREATMENT OF ESOPHAGEAL ANASTOMOTIC STENOSЕS AND LEAKAGES Boyko V., Belozerov I., Kudrevich O., Novikov Y., Savvi S., Makarov V., Hroma V., Sаrian I., Korolevska A., Bytyak S., Zhidetskyi V. Endoscopic stenting of esophageal anastomosis due to anastomotic stenosis or leakage is increasingly being used as one of the most effective, minimally invasive and safe methods of treatment. Materials and methods. This research is based on the experience of treatment of 49 patients with gastric and esophageal cancer who previously were operated at the clinic and had complications such as esophageal anastomotic leakage and stenosis. Anastomotic leakage was observed in 21 cases: 9 patients were with gastroesophageal anastomosis, 12 patients were with esophagointestinal anastomosis. Stenosis of esophageal anastomosis were observed in 38 cases: 20 patients were with gastroesophageal anastomosis, 18 patients were with esophagointestinal anastomosis. Results. All patients were undergone endoscopic stenting of esophageal anastomosis. The results of using this method of treatment were estimated. Conclusions. Stenting of the esophagеal anastomosis by coated self-expanding stents is a method of choice in the treatment of patients with esophageal anastomotic leakage and stenosis. Key words: gastrectomy, subtotal proximal gastrectomy, esophageal resection, anastomotic leakage, anastomotic stenosis, stenting of esophageal anastomosis.   Резюме. ЕНДОСКОПІЧНЕ ЛІКУВАННЯ СТЕНОЗУ І НЕСПРОМОЖНОСТІ СТРАВОХІДНОГО АНАСТОМОЗУ Бойко В.В., Бєлозьоров І.В., Кудревич О.М., Новіков Є.А., Савви С.О., Макаров В.В., Грома В.Г., Саріан І.В., Королевська А.Ю, Битяк С.Ю., Жидецький В.В. Ендоскопічне стентування стравохідних анастомозів внаслідок стенозу або неспроможності анастомозу все частіше використовується як один з найбільш ефективних, мініінвазивних і безпечних методів лікування. Матеріали та методи. Дане дослідження засноване на досвіді лікування 49 пацієнтів з раком шлунка і стравоходу, які раніше були прооперовані в клініці і мали такі ускладнення, як стеноз або неспроможність анастомозу стравоходу. Неспроможність анастомозу спостерігалася в 21 випадку: 9 пацієнтів з гастроезофагеальним анастомозом, 12 пацієнтів із стравохідно-кишковим анастомозом. Стенози стравохідного анастомозу спостерігалися в 38 випадках: 20 пацієнтів були з гастроезофагеальним анастомозом, 18 пацієнтів були з стравохідно-кишковим анастомозом. Результати. Всім пацієнтам було проведено ендоскопічне стентування стравохідного анастомозу. Результати використання цього методу лікування були оцінені. Висновки. Стентування стравохідних анастомозів покритими саморозширювальними стентами є методом вибору при лікуванні пацієнтів з неспроможністю або стенозом стравохідного анастомозу. Ключові слова: гастректомія, субтотальна проксимальна гастректомія, резекція стравоходу, неспроможність анастомозу, стеноз анастомозу, стентування стравохідного анастомозу.   Резюме. ЭНДОСКОПИЧЕСКОЕ ЛЕЧЕНИЕ СТЕНОЗОВ И НЕСОСТОЯТЕЛЬНОСТЕЙ ПИЩЕВОДНЫХ АНАСТОМОЗОВ Бойко В.В., Белозеров И.В., Кудревич А.Н., Новиков Е.А., Савви С.А., Макаров В.В., Грома В.Г., Сариан И.В., Королевская А.Ю, Битяк С.Ю., Жидецкий В.В. Эндоскопическое стентирование пищеводных анастомозов вследствие стеноза или несостоятельности анастомоза все чаще используется как один из наиболее эффективных, миниинвазивных и безопасных методов лечения. Материалы и методы. Данное исследование основано на опыте лечения 49 пациентов с раком желудка и пищевода, которые ранее были прооперированы в клинике и имели такие осложнения, как стеноз или несостоятельность анастомоза пищевода. Несостоятельность анастомоза наблюдалась в 21 случае: 9 пациентов с гастроэзофагеальным анастомозом, 12 пациентов с пищеводно-кишечным анастомозом. Стенозы пищеводного анастомоза наблюдались в 38 случаях: 20 пациентов были с гастроэзофагеальным анастомозом, 18 пациентов были с пищеводно-кишечным анастомозом. Результаты. Всем пациентам было проведено эндоскопическое стентирование пищеводного анастомоза. Результаты использования этого метода лечения были оценены. Выводы. Стентирование пищеводных анастомозов покрытыми саморасширяющимися стентами является методом выбора при лечении пациентов с несостоятельностью или стенозом пищеводного анастомоза. Ключевые слова: гастрэктомия, субтотальная проксимальная гастрэктомия, резекция пищевода, несостоятельность анастомоза, стеноз анастомоза, стентирование пищеводного анастомоза.

Substantiation of application of pneumoexercise machine mouth gag in patients with chewing muscle hypertonus

2021 ◽  
Vol 1 (12) ◽  
pp. 72-78
Author(s):  
Iu. A. Makedonova ◽  
A. A. Vorobyev ◽  
A. N. Osyko ◽  
A. V. Alexandrov ◽  
A. V. Pavlova-Adamovich ◽  
...  
Keyword(s):  
Clinical Symptoms ◽  
Clear Understanding ◽  
Functional Changes ◽  
Painful Symptom ◽  
Modern Methods ◽  
Invasive Method ◽  
Long Course ◽  
The One ◽  
Methods Of Treatment

The hypertone of chewing muscles is the leading reason of development of pain of non-odontogenic character in maxillofacial area. This pathology is rather widespread, at the same time has permanent character and is characterized average or heavy degree of expressiveness of clinical symptoms. Muscular pains considerably reduce working capacity and worsen quality of life of patients. Treatment of a hypertone of chewing muscles is relevant in stomatology. For clear understanding of genesis of development of muscular frustration in work the anatomy of a temporal and mandibular joint and chewing muscles is in detail presented systems. Modern methods of treatment of a hyper tone of chewing muscles include correction of occlusion that doesn’t eliminate a painful symptom; orthopedic and orthodontic treatment with application a cap. However, application of above-mentioned methods is rather effective, there is no exact understanding of the mechanism of their action. At some patients the temporary improvement of a state is noted, – gets the chronic sluggish long course of development of a disease which doesn’t give in by any known methods subsequently from others. Dentists perfectly understand this fact, at the same time the disappointment from the treatment comes in spite of the fact that all efforts were bent on improvement of knowledge in the field of factors predictors of development of pathology, modern methods of diagnostics and treatment of muscular frustration. In this work the use of the pneumoexercise machine mouth gag as the device relaxing muscles and separating device on the one hand, and possibilities of his use as a stimulator of process of the return development of the available already structural and functional changes of muscle tissue with another is proved. Accurate indications and contraindications to use of this device are submitted. It is recommended to use the device as the low-invasive method which isn’t leading to irreversible consequences. Further need of development of practical recommendations on uses of the pneumoexercise machine mouth gag as is obvious to patients and their parents, and to dentists in the medical and preventive purposes.

scholarly journals Stapled versus hand-sewn intestinal anastomosis in pediatric patients: a systematic review and meta-analysis

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Takayuki Fujii ◽  
Aya Tanaka ◽  
Hiroto Katami ◽  
Ryuichi Shimono
Keyword(s):  
Systematic Review ◽  
Anastomotic Leakage ◽  
Pediatric Patients ◽  
Operative Time ◽  
Anastomotic Stricture ◽  
Meta Analysis ◽  
Intestinal Anastomosis ◽  
Cochrane Library ◽  
Continuous Variables ◽  
Retrospective Cohort Studies

Abstract Background The safety and feasibility of stapled intestinal anastomosis have been widely reported in adults. However, the efficacy of stapled anastomosis (SA) in children is unclear. The aim of this study was to perform a systematic review and meta-analysis to evaluate the safety and effectiveness of SA compared with hand-sewn anastomosis (HA) in pediatric patients. Methods A systematic literature search was performed using PubMed, the Cochrane Library, and Scopus databases. Studies comparing outcomes of children aged < 7 years and subgroups of children aged < 1 year who underwent SA or HA were included. Primary outcomes were anastomotic leakage and anastomotic stricture. Mean differences (MDs) with 95 % confidence intervals (CIs) were calculated for continuous variables. Odds ratios (ORs) with 95 % CIs were calculated for dichotomous variables. Interstudy heterogeneity was assessed using the chi-squared test and was quantified using the I² statistic. Results One randomized control trial and five retrospective cohort studies, comprising 633 cases (229 SA cases and 404 HA cases), were included. No significant differences were observed in anastomotic leakage (6.5 % vs. 7.4 %; OR, 0.93; 95 % CI, 0.37–2.34; p = 0.88), anastomotic stricture (4.1 % vs. 9.3 %; OR, 0.54; 95 % CI, 0.19–1.51; p = 0.24), ileus (7.1 % vs. 9.3 %, OR, 2.35; 95 % CI, 0.15–37.51; p = 0.54), anastomosis-related complications (9.5 % vs. 10.9 %, OR, 0.98; 95 % CI, 0.52–1.86; p = 0.96; I2 = 39 %), and time until full-feeding (MD = -3.57 days; 95 % CI, -11.36 to 4.23; p = 0.37) between SA and HA. Operative time was significantly shorter in SA than in HA in children aged < 1 year (MD = -20.36 min; 95 % CI, -26.13 to -14.59). Conclusions SA required shorter operative time and was comparable to HA in the overall complication rate. Although the evidence was insufficient, SA could be an option for intestinal anastomosis in children.

scholarly journals Treatment of lesions on the vestibular surfaces of permanent teeth with the use of liquid resin of low viscosity

2019 ◽  
Vol 129 (3) ◽  
pp. 110-112
Author(s):  
Ilona Szewczak ◽  
Beata Kubić-Filiks ◽  
Jolanta Szymańska
Keyword(s):  
Professional Life ◽  
Permanent Teeth ◽  
Liquid Resin ◽  
Non Invasive ◽  
Low Viscosity ◽  
White Spots ◽  
Invasive Method ◽  
Caries Lesions ◽  
Methods Of Treatment

Summary One of the methods of treatment of initial stages of dental caries, lesions characterized by demineralization, and white spots on the vestibular surfaces of permanent teeth, is infiltration with liquid resin of low viscosity. It is a non-invasive method which is worth recommending and popularizing among patients. On the basis of available literature the therapeutic method of infiltration with liquid resin of low viscosity is presented. The use of resin of low viscosity allows for obtaining appropriate esthetic and functional appearance of teeth, which is a vital step in improvement of quality of social and professional life of patient.

Lumbar periarticular cysts of arcorray joint

2020 ◽  
pp. 47-57
Author(s):  
Anton Yarikov ◽  
Maxim Shpagin ◽  
Iliya Nazmeev ◽  
Sergey Gorelov ◽  
Olga Perlmutter
Keyword(s):  
Minimally Invasive ◽  
Severe Pain ◽  
Pain Syndrome ◽  
Long Term Results ◽  
Lumbar Region ◽  
Results Of Treatment ◽  
Invasive Method ◽  
Facet Syndrome

The immediate and long-term results of treatment of 30 patients with severe pain syndrome of the lumbar region, who underwent operations on denervation of DOS, were studied. The aim of the study was to evaluate the effectiveness of minimally invasive technologies for the treatment of pain in the lumbar region (denervation of DOS), to study the near and distant results of these treatment methods. Denervation DOS is an effective minimally invasive method for the treatment of facet syndrome caused by spondylarthrosis. It allows in the early and distant postoperative periods to significantly reduce the pain syndrome and improve the quality of life of patients.

384 SHORT-TERM OUTCOMES OF INTRA-THORACIC ESOPHAGO-GASTRIC ANASTOMOSES UNDER MINIMALLY INVASIVE ESOPHAGECTOMY VIA A PRONE POSITION

2021 ◽  
Vol 34 (Supplement_1) ◽  
Author(s):  
Shinji Mine ◽  
Masayuki Watanabe ◽  
Atushi Kanamori ◽  
Yu Imamura ◽  
Akihiko Okamura ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Anastomotic Stricture ◽  
Minimally Invasive Esophagectomy ◽  
Anterior Wall ◽  
Gastric Conduit ◽  
Linear Stapler ◽  
Short Term ◽  
Invasive Esophagectomy ◽  
Operative Complications ◽  
Gastric Anastomosis

Abstract   Although minimally invasive esophagectomy (MIE) has been performed for esophageal cancer worldwide, intra-thoracic anastomosis under prone positions is still challenging. In this retrospective study, we reviewed our short-term results of this anastomotic technique in our institution. Methods From November 2016 to December 2019, we performed 319 esophagectomies. Of these patients, 28 patients (9%) underwent intra-thoracic esophago-gastric anastomosis under MIE. Procedures The left side of an esophageal stump which had been closed using a linear stapler was opened for anastomosis. Then, the anterior wall of a gastric conduit, around 5 cm below the tip, was opened for anastomosis. Linear staplers were inserted in both esophageal stump and gastric conduit and side-to-side anastomosis was performed. The opening for insertion was closed using a hand-sewn anastomosis in 2 layers. Results Five patients (18%) suffered anastomotic leakage with Clavien-Dindo 2 and 3a, and all of them recovered by conservative treatments. Two patients (2/19, 11%) showed anastomotic stricture which improved by several endoscopic dilatations. Six patients (6/19, 32%) showed the reflux esophagitis of Grade C. Conclusion Although we have not experienced severe or critical post-operative complications, the short-term results of intra-thoracic anastomosis under MIE were not sufficient. Additional progresses in techniques are required.

Effectiveness and safety of modern treatment against nausea and vomiting induced by chemotherapy and radiotherapy

2021 ◽  
Vol 14 (1) ◽  
pp. 11-15
Author(s):  
Łukasz Hajac ◽  
Martyna Hajac ◽  
Adam Maciejczyk
Keyword(s):  
Side Effects ◽  
Serotonin Syndrome ◽  
Nausea And Vomiting ◽  
Effective Prevention ◽  
Important Group ◽  
Life Threatening ◽  
Treatment Changes ◽  
Long Acting ◽  
Methods Of Treatment

Nausea and vomiting are one of most frequent side effects of chemotherapy and radiotherapy. Effective prevention and treatment of these symptoms is essential for better quality of life for patients undergoing oncological therapies. Nausea and vomiting can be acute, delayed or anticipatory. Leading mechanisms and methods of treatment are different for each of those. Most often used groups of drugs are: 5-HT3-antagonists, glucocorticosteroids, NK1-antagonists. Another important group are neuroleptics, which are therapy of choice for anticipatory vomiting. Modern antiemetic medications are in most cases safe and effective. But as every treatment it causes risks of adverse events which may be serious and difficult to manage. It applies in particular to long-acting drugs. Most common side effects are headache, constipation and sedation. But more severe or life-threatening symptoms may appear, like intestinal obstruction and serotonin syndrome. Some of the drugs also come with risk of interacting with other treatment. Changes in pharmacokinetics may lead to additional toxicities. In elderly, especially with cardiac disease, in risk of ileus or cachexia these drugs shall be used with caution.

scholarly journals Myoma of the uterus: the organ-preservation treatment (a review)

2020 ◽  
Vol 20 (1-2) ◽  
pp. 13-18
Author(s):  
Elmira T. Nurmukhametova
Keyword(s):  
Quality Of Life ◽  
Organ Preservation ◽  
Uterine Artery Embolization ◽  
Uterine Artery ◽  
Web Of Science ◽  
Uterine Fibroids ◽  
Artery Embolization ◽  
Radical Method ◽  
Methods Of Treatment

Uterine fibroids are one of the main causes of hysterectomy. This radical method of treatment allows to control such symptoms as pain and bleeding, but significantly worsens womens quality of life, preventing them from their childbearing function. This article includes the results of domestic and foreign studies on organ-preserving methods of treatment of uterine fibroids published within 10 years. The method of uterine artery embolization, which is preferred by an increasing number of doctors and patients suffering from fibroids, is also described in the article. The search for articles was carried out in the databases Pubmed, Web of Science, Scopus.

scholarly journals COMPARATIVE ANALYSIS OF INTERNATIONAL STANDARDS AND OUR EXPERIENCE IN TREATMENT OF PATIENTS WITH CHRONIC HEMORRHOID A BASE FOR EVIDENTIAL MEDICINE

2020 ◽  
pp. 90-93
Author(s):  
V. V. Bojko ◽  
V. V. Makarov ◽  
V. V. Tsodikov ◽  
L. G. Tarasenko
Keyword(s):  
Clinical Experience ◽  
High Efficiency ◽  
International Standards ◽  
Clinical Protocols ◽  
Clinical Protocol ◽  
Surgical Decision ◽  
Results Of Treatment ◽  
Methods Of Treatment ◽  
Single Approach

Summary. Aim. Decrease the amount of postoperative complications and improve quality of life for patients by a chronic hemorrhoid (CH). Materials and methods. Both international and national foreign clinical protocols are analysed. The obtained data are confronted with our clinical experience. Results and their discussion. Materials and methods. In the looks of foreign colleagues to tactics of treatment of patients with CH are analysed. The obtained data are confronted from positions of the best medical practice of providing of medicaid to the patients with a CH. Results and their discussion. In spite of insignificant differences in the volume of operative treatment of patients of CH, international practice adheres to single approach on tactics of surgical decision of this problem. Among the radical methods of treatment recommend next methodologies as an operation of choice: hemorrhoidectomy Milligan - Morgan, Ferguson and Parks, that in all researches were marked as high-efficiency. Clinical experience of our clinic, that Milligan–Morgan hemorrhoidectomy is the operation of choice for patients with 3-4 degrees of fall of knots, and applications of modern methodologies allows to bring down lacks of this operation and to attain the level of complications less than 1 %. Conclusions. The necessity of development of compatible clinical protocol of medicare to the patients takes place with CH. Introduction of single home standards of providing of medicare to the patients with CH will allow to bring down the risk of development of complications and improve the results of treatment. The got results of own researches on providing of medicare to the patients with CH are comparable with the results of foreign colleagues.

scholarly journals MODERN METHODS OF TREATMENT IN PALLIATIVE CARE

2019 ◽  
Vol 72 (7) ◽  
pp. 1229-1235
Author(s):  
Ewa Kucharska ◽  
Aleksandra Kucharska ◽  
Aleksander Sieroń ◽  
Mariusz Nowakowski ◽  
Karolina Sieroń
Keyword(s):  
Quality Of Life ◽  
Palliative Care ◽  
Hospice Care ◽  
Clinical Symptoms ◽  
Care Patient ◽  
Unique Type ◽  
Modern Methods ◽  
High Dynamics ◽  
Methods Of Treatment

The palliative care patient is definitely a unique type of patient. Due to the complexity of the symptoms requires a holistic therapeutic approach. Modern methods of treatment in palliative and hospice care underline an important role of physio, kinesiotherapy and pharmacological treatment coexistence. The rehabilitation reduces clinical symptoms, accompanying the basic disease and increases the quality of life of palliative patients and their families. It becomes an inseparable element of treatment, both in outpatient care as well as in stationary care and home care. Due to the high dynamics onset of cancer in the group of geriatric patients there is a need for a broader analysis of the topic. The goal of palliative care is to achieve the best possible quality of life for patients and their families.

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