内镜下植入248个假体治疗不可切除的食管癌和贲门癌：短期和长期结果

Endoscopic insertion of 248 prostheses in inoperable carcinoma of the esophagus and cardia: short-term and long-term results.

作者信息

Gasparri G, Casalegno P A, Camandona M, Dei Poli M, Salizzoni M, Ferrarotti G, Bertero D

机构信息

Istituto di Patologia Chirurgica, Universita' di Torino, Italy.

出版信息

Gastrointest Endosc. 1987 Oct;33(5):354-6. doi: 10.1016/s0016-5107(87)71637-x.

DOI:10.1016/s0016-5107(87)71637-x

PMID:2445622

Abstract

We present our findings after 248 endoscopic intubations with the Nottingham introducer and more recently with the Dumon-Gilliard system for inoperable carcinoma of the esophagus and cardia. Mortality within the first week was 7.6% decreasing to 4.3% with the Dumon-Gilliard method. Survival after 3 months was 61.5%, after 6 months 32.3%, after 1 year 4.8%. The quality of swallowing was very good in 51.5% of the cases, while 36.7% of the patients suffered from dysphagia for semisolids and 10.1% for semiliquids. Obstruction occurred in 36 cases; proximal and distal dislocations were found in four cases each. In 20 patients with esophagorespiratory fistula we had an operative mortality of 15%, but 6-month survival was 35.7% and 1 year survival was 7.1%.

摘要

我们展示了使用诺丁汉导入器以及最近使用杜蒙 - 吉利亚德系统对无法手术的食管癌和贲门癌进行248次内镜插管后的研究结果。第一周内的死亡率为7.6%，采用杜蒙 - 吉利亚德方法后降至4.3%。3个月后的生存率为61.5%，6个月后为32.3%，1年后为4.8%。51.5%的病例吞咽质量非常好，而36.7%的患者吞咽半固体食物时有吞咽困难，10.1%的患者吞咽半液体食物时有吞咽困难。发生梗阻36例；近端和远端脱位各发现4例。在20例食管气管瘘患者中，手术死亡率为15%，但6个月生存率为35.7%，1年生存率为7.1%。