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KYPHOPLASTY AND VERTEBROPLASTY IN THE TREATMENT OF OSTEOPOROTIC VERTEBRAL FRACTURES
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Nahum, García Ortiz Uriel
; Ángel, Fuentes Rivera Miguel
; Amado, González Moga
; Alberto, Santos Benitez Hugo
.
RESUMO Objetivo: Comparar esses procedimentos no tratamento de fraturas de compressão secundárias à osteoporose. Métodos: Foram selecionados os pacientes que foram submetidos a procedimentos de reforço vertebral no período de março de 2010 a outubro de 2016. Foram registrados angulações, cunhões, índice de incapacidade de Oswestry (ODI), escala visual analógica (VAS), número de portais. volume de cimento e complicações. Os resultados foram analisados por diferenças médias. Resultados: 68 pacientes foram selecionados com 105 procedimentos. Observou-se uma melhoria estatisticamente significativa no EVA e ODI em ambos os procedimentos (p <0,001), sem diferenças estatisticamente significativas entre eles, independentemente da quantidade de portais ou cimento aplicado. Uma correlação alta foi encontrada entre a correção da angulação cifótica e a melhora do ODI (p = 0,012). Conclusões: Tanto a vertebroplastia quanto a cifoplastia são procedimentos efetivos para o tratamento de fraturas de compressão. Não encontramos diferenças significativas entre os dois procedimentos. A alta correlação entre a melhora da cifose e o ODI sugere que esses procedimentos são superiores ao tratamento conservador para melhorar a qualidade de vida do paciente, porém são necessários mais estudos para chegar a uma conclusão final. Nível de Evidência III; Estudo retrospectivo comparativo.
ABSTRACT Objective: To compare these procedures in the treatment of osteoporotic vertebral compression fractures. Methods: Patients who underwent vertebral augmentation procedures between March 2010 and October 2016 were selected for the study. Kyphosis, anterior vertebral height, Oswestry Disability Index (ODI), Visual Analog Scale (VAS), number of portals, cement volume, and complications were recorded. The results were analyzed by difference of the means. Results: Sixty-eight patients were selected, accounting for 105 procedures. A statistically significant improvement was observed in VAS and ODI with both procedures (p<0.001) without statistically significant difference between them, regardless of the number of portals or cement applied. There was a high correlation between kyphosis correction and ODI improvement (p =0.012). Conclusions: Both vertebroplasty and kyphoplasty are effective procedures for the treatment of vertebral compression fractures. We found no significant difference between both procedures. The high correlation between improvement of kyphosis and ODI suggests that these procedures are better than conservative treatment to improve the quality of life of patients, however more studies are required to reach a final conclusion. Level of Evidence III; Retrospective comparative study.
RESUMEN Objetivo: Comparar estos procedimientos en el tratamiento de fracturas por compresión secundarias a osteoporosis. Métodos: Se seleccionaron pacientes a quienes se realizaron procedimientos de refuerzo vertebral en el periodo de Marzo de 2010 a Octubre de 2016. Se registró la angulación, acuñamiento, Oswestry Disability Index (ODI), Escala Visual Análoga (EVA), cantidad de portales, volumen de cemento y complicaciones. Se analizaron los resultados por diferencia de las medias. Resultados: Se seleccionaron 68 pacientes con 105 procedimientos. Se observó una mejoría estadísticamente significativa en el EVA y ODI en ambos procedimientos (p < 0,001), sin diferencias estadísticamente significativas entre estos, independientemente de la cantidad de portales o cemento aplicado. Se encontró una alta correlación entre la corrección de la angulación cifótica y la mejoría del ODI (p = 0,012). Conclusiones: Tanto la vertebroplastia como la cifoplastia son procedimientos eficaces para el tratamiento de las fracturas por compresión. No encontramos diferencias significativas entre ambos procedimientos. La alta correlación entre la mejoría de la cifosis y el ODI sugiere que estos procedimientos son superiores al tratamiento conservador para mejorar la calidad de vida del paciente, sin embargo se requieren más estudios para llegar a una conclusión final. Nivel de Evidencia III; Estudio retrospectivo comparativo.
https://doi.org/10.1590/s1808-185120181702189429
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2.
Nuevas terapias orales de acción directa para tratamiento de virus de hepatitis C (VHC)
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Vargas, José Ignacio
; Arab, Juan Pablo
; Monrroy, Hugo
; Labbé, Pilar
; Sarmiento, Valeska
; Fuster, Felipe
; Barrera, Francisco
; Benitez, Carlos
; Arrese, Marco
; Fuster, Francisco
; Soza, Alejandro
.
Background: The availability of direct-acting antivirals (DAA) for the treatment of chronic hepatitis C virus (HCV) infection is just starting to expand in Chile. Aim: To report the initial experience of patients treated with DAA and their evolution after treatment. Material and Methods: Prospective cohort study, from June 2013 to August 2016 of patients treated with DAA for HCV in three clinical centers. The presence of cirrhosis, clinical and laboratory features; adverse events (AE) and post-treatment changes in liver function were evaluated. Sustained viral response at 12 weeks post-treatment (SVR12) was determined. Results: One hundred six patients aged 58 ± 13 years, 54% males, were included. HCV genotype 1b was present in 88% and 47% had cirrhosis. Treatment regimens were asunaprevir + daclatasvir (DCV) in 17% of patients, paritaprevir / ritonavir / ombitasvir + dasabuvir in 33%, sofosbuvir (SOF) + DCV in 19%, and SOF + ledipasvir in 30%. Twenty five percent of patients used generic drugs. SVR12 was 92.1%, with no differences between generic and brand-name drugs. Serious AE were recorded in 22% of patients, being more common in those with cirrhosis (34% vs 11.5%, p < 0.01). At 12 weeks post-treatment follow-up, there was a decrease in aminotransferase values (p < 0.01), improvement in Child-Pugh score (5.9 vs. 5.5, p = 0.03) and decreased presence of ascites (p = 0.02). Conclusions: In our setting, DAA for HCV was highly effective and safe in non-cirrhotic patients. Hepatic function and inflammation improved at 12 weeks of follow-up. AE were common in patients with cirrhosis, suggesting that these patients should be treated by experienced teams. Generic drugs had similar effectiveness compared to originals.
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3.
FUNCTIONAL RESULTS OF SURGICAL TREATMENT OF CERVICAL SPONDYLOTIC MYELOPATHY
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UH, MARVIN JESUALDO VARGAS
; MOGA, AMADO GONZÁLEZ
; BENITEZ, HUGO SANTOS
; HERNANDEZ, GABRIEL HUERTA
; CARRANZA, JUAN ENRIQUE GUZMÁN
.
RESUMO Objetivo: Analisar o resultado funcional do tratamento cirúrgico da mielopatia espondilótica cervical. Métodos: Estudo retrospectivo envolvendo 34 pacientes com MEC submetidos a cirurgia de janeiro de 2014 a junho 2015. O estado neurológico foi avaliado utilizando as escalas de Nurick e da Japanese Orthopaedic Association modificada (mJOA) no pré-operatório e aos 12 meses. Sexo, idade, tempo de evolução, níveis cervicais afetados, via de acesso cirúrgico e sinal de hiperintensidade na ressonância magnética ponderada em T2 também foram avaliados. Resultados: Foram incluídos 14 homens e 20 mulheres. A média de idade foi 58,12 anos. O tempo médio de progressão foi 12,38 meses. O estado neurológico pré-operatório por mJOA foi leve em 2 pacientes, moderado em 16 e grave em 16, com média de 11,44 pontos. O Nurick pré-operatório foi de grau II em 14 pacientes, grau III em 8, grau IV em 10 e grau V en 2. O sinal de hiperintensidade em T2 foi documentado em 18 pacientes (52,9%). O resultado funcional de acordo com a taxa de recuperação mJOA foi bom em 15 pacientes (44,1%) e ruim em 19 (55,9%); o grau de recuperação de Nurick foi bom em 20 (58,8%) e ruim em 14 (41,2%). Conclusões: A cirurgia descompressiva da medula espinal demonstrou ser eficaz no tratamento de mielopatia espondilótica cervical em pacientes bem selecionados. Embora se sugira que há certos fatores que se correlacionam com o resultado funcional, acreditamos que mais estudos prospectivos e randomizados devem ser conduzidos para esclarecer esta hipótese.
ABSTRACT Objective: To analyze the functional outcome of surgical treatment of cervical spondylotic myelopathy. Methods: A retrospective study involving 34 patients with CSM, operated from January 2014 to June 2015. The neurological status was assessed using the Nurick and modified Japanese Orthopedic Association (mJOA) scales preoperatively and at 12 months. Sex, age, time of evolution, affected cervical levels, surgical approach and T2-weighted magnetic resonance hyperintense signal were also evaluated. Results: A total of 14 men and 20 women participated. The mean age was 58.12 years. The average progression time was 12.38 months. The preoperative neurological state by mJOA was mild in 2 patients, moderate in 16 and severe in 16, with a mean of 11.44 points. The preoperative Nurick was grade II in 14 patients, grade III in 8, grade IV in 10 and grade V in 2. The T2-weighted hyperintense signal was documented in 18 patients (52.9%). The functional outcome according to the mJOA recovery rate was good in 15 patients (44.1%) and poor in 19 (55.9%). The degree of Nurick recovery was good in 20 (58.8%) and poor in 14 (41.2%). Conclusions: Decompressive surgery of the spinal cord has been shown to be effective in the treatment of cervical spondylotic myelopathy in well-selected patients. Although it is suggested that there are certain factors that correlate with functional outcome, we believe that more prospective randomized studies should be conducted to clarify this hypothesis.
RESUMEN Objetivo: Analizar el resultado funcional del tratamiento quirúrgico de la mielopatía cervical espondilótica. Métodos: Se realizó un estudio retrospectivo que incluyó 34 pacientes con MCE, intervenidos de enero 2014 a junio 2015. Se evaluó el estado neurológico utilizando las escalas de Nurick y de la Japanese Orthopaedic Association modificada (mJOA) en el período preoperatorio y a los 12 meses. Sexo, edad, tiempo de evolución, niveles cervicales afectados, abordaje quirúrgico y el signo de hiperintensidad en IRM potenciada en T2 también fueron evaluados. Resultados: Se intervinieron 14 hombres y 20 mujeres. La edad promedio fue 58,12 años. El tiempo de evolución promedio fue de 12,38 meses. El estado neurológico preoperatorio mJOA fue leve en 2 pacientes, moderado en 16 y severo en 16, con promedio de 11,44 puntos. El Nurick preoperatorio fue grado II en 14 pacientes, grado III en 8, grado IV en 10 y grado V en 2. El signo de hiperintensidad en T2 se documentó en 18 pacientes (52,9%). El resultado funcional según la tasa de recuperación mJOA fue bueno en 15 pacientes (44,1%) y malo en 19 (55,9%); según el grado de recuperación de Nurick fue bueno en 20 (58,8%) y malo en 14 (41,2%). Conclusiones: La cirugía descompresiva de la medula espinal ha mostrado ser efectiva en el tratamiento de la mielopatía cervical espondilótica en pacientes bien seleccionados. Aunque se sugiere que existen ciertos factores que se correlacionan con el resultado funcional, creemos que deberían realizarse más estudios prospectivos y randomizados para aclarar ésta hipótesis.
https://doi.org/10.1590/s1808-185120171602172279
1191 downloads
4.
Trabajos de investigación presentados en el XLIX Congreso Mexicano de Anestesiología: Zacatecas 2015. México
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Sánchez, Claudia
; Osorio-Santiago, María Arelí
; Medina-Tarango, Marco Antonio
; Fernandez De Lara, Alfredo
; Castro-Salinas, Jose Ernesto
; Salazar-Luna, Miguel Angel
; Sanchez, Placido
; Castro-Cayetano, José Esteban
; Millán Hernández, Manuel
; Almonte, Hector Asencion
; Zamora-Aguirre, Salvador A.
; Gudiño, Yocelin Montserrat
; Reyes-Valle, Roberto
; Zepeda-Olivera, Silvia
; Ferretiz-López, Giancarlo
; Salgado, Mónica
; Moctezuma-Ramírez, Luis
; Hernández-Ortiz, Israel Ivan
; Hernández-Zenteno, Norma Angelica
; Martinez, Raquel
; Sánchez-Hernández, Eloy
; Camacho-Gómez, Aldo Constantino
; Martinez, Raquel
; Chenge-Said, Jarumi
; Flores Fonseca, Elvia
; López-Centeno, Martha Alicia
; López, Angélica Yanine
; Jiménez-Ramos, Adriana
; Velasco-Sordo, Luis Ramón
; Hurtado-Reyes, Ignacio Carlos
; Castellanos, Antonio
; Rojas-Peñaloza, Janeth
; Zapién-Madrigal, Jesús Miguel
; Sánchez, Placido
; Sánchez-López, Eric Mauricio
; Mendoza- García, María Isabel
; Calzada-Grijalba, José Francisco
; Hernandez, Israel Ivan
; Castellanos De León, Edgar
; Luna Medina, Cinthya Isabel
; Alvarez-Mora, Lucy Andrea
; López, Angélica Yanine
; Jiménez-Ramos, Adriana
; Velasco-Sordo, Luis Ramón
; Hurtado-Reyes, Ignacio Carlos
; Diaz, Erica Raquel
; Hernandez-Gutierrez, Deoselina
; Gargiulo, Paul Raphael
; Barragán, Maria Jimena
; Ham Mancilla, Ofelia
; Zamora- Gutiérrez, Ana Lilia
; Arteaga, Jaime
; Hernández-Gutierrez, Deoselina
; Ríos-Navarro, Ramón Alejandro
; Romo-Serrano, Erika
; Castellanos, Antonio
; Zapién-Madrigal, Jesús Miguel
; Rojas- Peñaloza, Janeth
; Garduño, Araceli Marselle
; Flores-Rodriguez, Alfonso de Jesus
; Cuervo-Ggonzalez, Alma Kenia
; Puente-Solorio, Armando
; Benitez-Rebollar, Joel Enrique
; Gaona-Valle, Laura Soraya
; Jaime, Mayra Alicia
; Ortega-Suarez, Lizbeth
; Barrientos-Quintanilla, Luis Alberto
; Alvarado-Ramos, Salomon
; Moya-Morales, Yuliana
; Ferretiz, Giancarlo
; César, Julio
; Yañez, Pablo
; Reyes-Valle, Roberto
; Colores-Velazquez, Julio César
; Luna, Arístides De Jesús
; Almonte, Hector Asencion
; Márquez-Noyola, Elizabeth Alicia
; Castellanos, Antonio
; Barrera, Lorena
; Cabrera-Sánchez, Miroslava
; Fernanández-Muñoz, Angel Fernando
; Rolón-Sánchez, Yumara Georgina
; Barragán-Hernández, Adriana Guadalupe
; Lòpez, Estefania
; Osorio-Santiago, Maria Areli
; Muñoz, Beatriz Adelaida
; Cruz-Bautista, Mayra Ivette De La
; Ripoll-Aburto, Carlos Andres
; Ortiz-Maldonado, Jessie Karolina
; Hernández-Rasgado, Javier
; Cuj-Díaz, Alberto
; Sanchez, Placido
; Sarmiento, Lina
; Peña-Olvera, Silvia
; Santiago-Poot, Nohemí
; López, Angélica Yanine
; Jiménez-Ramos, Adriana
; Hurtado-Reyes, Ignacio Carlos
; Ferretiz, Giancarlo
; Pablo-Yañez, Julio César
; Flores-Martinez, Juan Ramón
; Chavez-Contreras, Sara Idali
; Gudiño-Larios, Yocelin Montserrat
; Velazquez, Sara
; Vences-Perez, Noemi Dolores
; Ayala-Bermudez, Celina Alejandra
; Garcia-Castro, Marco Tulio
; Gordillo-Parra, Alejandra
; Barrera, Lorena
; Cabrera-Sánchez, Miroslava
; Martínez-García, Claudia Lizeth
; Zuñiga-Iñiguez, Paloma
; Anaya-Romo, Eduardo
; Antelo-Corral, Jaqueline
; Ramos, Perla Del Carmen
; Hernández-Rasgado, Javier
; Cuj-Díaz, Alberto
; Fonz-Murillo, Elma Patricia
; Cruz-Bautista, Mayra Ivette De la
; Ripoll-Aburto, Carlos Andres
; Cruz, Mayra Ivette De La
; Cuj-Díaz, Alberto
; Hernández-Rasgado, Javier
; Vega-Cano, Miguel
; Ramos-Rodríguez, Perla del Carmen
; Muñoz-Hernández, Beatriz Adelaida
; Caceres, Leonardo Andres
; Arteaga-Favela, Claudia Berenice
; Nava-Osorio, Alejandro
; Arce-Bojorquez, Brisceyda
; Urias, Emma
; Rosario-Ayala, Yuridia Del
; Salazar-Castro, Laura Elena
; Nieblas-Torres, Mariela Lizet
; Arce-Bojorquez, Brisceyda
; Prince-Angulo, Silvia Annel
; Espinoza-Quintero, Erendira
; Alzate, Ana Lizette
; Camacho, Jesus Erick
; Aviles-Lozoya, Jose Trinidad
; Urias, Emma
; Espinoza-Quintero, Erendira
; Castellanos, Antonio
; Cruz, Nora Cecilia
; Rendón-Salazar, Dafne Denisse
; González-Cordero, Gustavo
; Garduño-Chávez, Belia Inés
; Orozco, Arturo Emmanuel
; Guerrero-Morales, Fernando
; Gonzalez-Ortiz, Julio Cesar
; Casillas-Cruz, Angel Alberto
; Aquino-Tamayo, Blanca Olga
; Estrada, Haydeé Lucía
; Soberanes-Alderete, Francisco Javier
; Ojeda-Ramos, Joel
; Martinez-Flores, Carlos
; Sandoval-Rivera, Arturo Guadalupe
; Cáceres-Figeroa, Leonardo Andres
; Ortega, Columba
; Torres-Mata, Lizbeth Yareli
; Peña-Olvera, Silvia
; Huerta, Juana Geraldine
; Sarmiento-Kamar, Rodrigo Ignacio
; Espinoza, Erendira
; Gerardo-Angulo, Alma Ruth
; Nieblas-Torres, Mariela Lizet
; Martinez-Felix, Jesus Israel
; Rochin-Parra, Julia Teresa
; Chavez, Veronica
; Buendía-Roque, Daniel
; Pinales-Aguilar, Guillermina
; Sandoval, Linda Alejandra
; Ovalle-Bueno, Claudia
; Armendáriz-Salinas, Jaime
; Valdovinos, Salvador
; Castellanos, Antonio
; Sandoval, Linda Alejandra
; Medina-Piqué, Sheila
; Aguilar, Hugo
; Barrera, Eduardo
; Márquez, Elizabeth Alicia
; León, Héctor Almonte De
; Castellanos, Antonio
; Rojas-Peñaloza, Janeth
; Zapién-Madrigal, Jesús Miguel
; Paez, Nancy
; Borquez-Torres, Samantha Anabel
; Chinchillas-Chinchillas, Yanira Zelene
; Silva-Romo, Luis Julian
; Aldana, Jorge Pablo
; Hernández-Gutiérrez, Deoselina
; Sánchez-Hernández, Eloy
; Castellanos, Antonio
; Coronel, Berta
; Fuentes-González, Nalleli del Carmen
; Mendoza-García, María Isabel
; Yañez, Gonzalo
; Contreras-Salomón, José Luis
; Garcia-Simbron, Emma
; Chable-Juárez, Randy Josue
; Manriquez-Merino, Ricardo
; Martinez, Raquel
; Chenge-Said, Jarumi
; Hernández Gutiérrez, Deoselina
; Sánchez, Placido
; Arrieta-Ruiz, Marelyn
; González-Velázquez, Felipe
; Estrada-Utrera, Sandra
; Castellanos, Antonio
; Meza, Oscar Eduardo
; Jimenez-Gonzalez, Adriana Guadalupe
; Pilar-Velazquez, Estefania
; Romo-Cortes, Ramona
; Torres-Soto, Maria de la Luz
; Estrada, Maria Sandra
; Espinoza, Cinthia Yadira
; Islas-Ruz, Felix Gilberto
; Perez-Diaz, Roberto
; Manuel-Serna, Roberto Aurelio
; Arce-Bojorquez, Brisceyda
; Medina-Lopez, Francisco de Jesus
; Nieblas-Torres, Mariela Lizet
; Espinoza-Quintero, Erendira
; Ayala-Camargo, Yuridia
; Guadarrama, Hugo
; Flores-Rodriguez, Alfonso de Jesus
; Benitez-Rebollar, Joel Enrique
; Cedillo-Hernandez, Carolina
; Acevedo-Corona, Arturo
; Gaona-Valle, Laura Soraya
; Morfin, Cecilia
; Flores Rodriguez, Alfonso de Jesus
; Cortes-Aceves, Hector Omar
; Rodríguez-Martínez, José Carlos
; Puente Solorio, Armando
; Gaona-Valle, Laura Soraya
; Reyes, Agustin
; Uscanga-Villa, Maria Nieves
; Molina-Rodriguez, Gloria
; Aquino-Tamayo, Blanca Olga
; Cabrera, Francisco
; Motta-Amezquita, Luis Gerardo
; Castellanos-Olivares, Antonio
; Joffre-Mora, Oscar Paul
; Moncada, Adriana Patricia
; Hernandez-Baez, Humberto Trinidad
; Cecilia, Nora
; Garduño-Chávez, Belia Inés
; González-Cordero, Gustavo
; Palacios-Ríos, Dionicio
.
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5.
Biomarkers for screening of lung cancer and pre-neoplastic lesions in a high risk Chilean population
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Adonis, Marta I
; Díaz, Jose
; Miranda, Veronica R
; Chahuan, Marco
; Zambrano, Alcides
; Benitez, Hugo C
; Campos, Monica
; Avaria, Pablo
; Urzúa, Ulises
; Marín, Pedro
; Gohurdett, Mariela
; Cisterna, Yasna
; Gil, Lionel
.
BACKGROUND: The mortality of lung cancer (LC), increases each year in the world, in spite of any advances, in development of new drugs to advance stages of LC. The high incidence of LC has been associated with smoking habit, genetic diversity and environmental pollution. Antofagasta region has been reported to have the highest LC mortality rate in Chile and its inhabitants were exposed to arsenic in their drinking water in concentrations as high as 870 μg/L. Non-invasive techniques such as biomarkers (Automatic Quantitative Cytometry: AQC and DR70) and Auto Fluorescence Bronchoscopy (AFB) might be potentially useful as a supplementary diagnostic approach and early detection. Early detection is one of the most important factors to intervene and prevent cancer progression in LC. This is a work of an ongoing prospective bimodality cancer surveillance study in high risk LC volunteers. Enrolment was done in subjects from Antofagasta and Metropolitan regions. In addition, we enrolled subjects who were suspected of having lung cancer. AQC, DR70 and AFB were used as tools in the detection of pre-neoplastic (PNL) and neoplastic lesions (NL). RESULTS: Half of the samples, classified as suspicious by AFB, were confirmed as metaplasia or dysplasia by histopathology. For LC, DR70 showed a higher sensitivity (95.8%) and specificity (91.9%) than AQC. However, for PNL AQC showed a higher sensitivity (91.9%) than DR70 (27.3%), although both with low PPV values. As a pre screener, both biomarkers might be employed as complementary tools to detect LC, especially as serially combined tests, with a sensitivity of 60% and a PPV of 65.2%. Additionally, the use of parallel combined tests might support the detection of PNL (sensitivity 91.2%; PPV 49.1%). CONCLUSION: This work adds information on cellular and molecular biomarkers to complement imaging techniques for early detection of LC in Latin America that might contribute to formulate policies concerning screening of LC. Supported by INNOVA-CORFO, Chile.
https://doi.org/10.1186/0717-6287-47-62
1259 downloads
6.
Prótesis metálicas autoexpandibles en lesiones malignas de la unión esofagogástrica
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Gori, Hugo
; Benitez, Sylvia
; Valero, Rorayma
; Ascanio, Belitza
; Pernalete, Beatriz
; Bracho, Víctor
; Lara, Jacinto
.
Introducción: Los adenocarcinomas de esófago y cardias están incrementando su incidencia. El pronóstico es pobre con índices de sobrevida bajos. La disfagia es el síntoma que causa mayor molestia al paciente, repercutiendo en su estado nutricional y calidad de vida. El tratamiento de los tumores de la unión esofagogastrica es poco satisfactorio haciéndose los diagnósticos en etapas avanzadas. Las prótesis esofágicas son utilizadas como terapia paliativa primaria o en recidiva tras otras formas de tratamiento. Materiales y Métodos: Se incluyeron 13 pacientes entre enero 2002 a Diciembre 2006 con lesiones malignas avanzadas de la unión esofagogastrica no susceptibles a otro tipo de tratamiento. Previa dilatación de la estenosis maligna se procedió a colocar prótesis autoexpandibles en la unión esofagogastrica. Resultados: El adenocarcinoma fue la variedad histológica más frecuente. Se logra la colocación de las prótesis en 11 casos en la primera sesión. Sangramiento y dolor torácico se asociaron a la dilatación con bujías. En un paciente se presento migración de la prótesis al estómago (7,6%). Conclusiones: En nuestra serie no hay complicaciones asociadas a la colocación de la prótesis, ni mortalidad atribuible al procedimiento. Las prótesis metálicas autoexpandibles son un excelente instrumento en el manejo de la disfagia en lesiones malignas avanzadas de la unión esofagogastrica.
Introduction: The incidence of adenocarcinomas in esophagus and the esophagogastric junction are increasing all over the world. Prognosis is poor with low survival indexes. Dysphagia is the symptom that causes most nuisances to patients, affecting their nutritional state and quality of life. The treatment of tumors of the esophagogastric junction is not very satisfactory given that diagnoses are usually made at advanced stages. Stents are used as primary palliative therapy or in case of relapse after other treatment forms such as surgery or radiochemotherapy. Materials and Methods: 13 patients were included in the study between January 2002 and December 2006, all with advanced lesions at the GE junction which was not susceptible to other types of treatment. After dilation of the malignant stenosis we proceeded to place Expandable Metal Stents in the GE junction. Results: 84,6% of the tumors were adenocarcinomas. The placement of the stents was achieved in 11 cases in the first session. Bleeding and thoracic pain were associated with the dilation. Only one patient presented stent migration to the stomach (7,6%). Conclusions: In our series there were no complications associated with the placement of the stent, and no mortality caused by the procedure. The Expandable Metal Stents are an excellent instrument in the handling of dysphagia in malignant advanced lesions of the esophagogastric junction.
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Por exemplo, se você deseja buscar artigos sobre
casos de dengue no Brasil em 2015, use:ti:dengue and publication_year:2015 and aff_country:Brasil
Veja abaixo a lista completa de índices de pesquisa que podem ser usados:
Cód. do Índice | Elemento |
---|---|
ti | título do artigo |
au | autor |
kw | palavras-chave do artigo |
subject | assunto (palavras do título, resumo e palavras-chave) |
ab | resumo |
ta | título abreviado da revista (ex. Cad. Saúde Pública) |
journal_title | título completo da revista (ex. Cadernos de Saúde Pública) |
la | código do idioma da publicação (ex. pt - Português, es - Espanhol) |
type | tipo do documento |
pid | identificador da publicação |
publication_year | ano de publicação do artigo |
sponsor | financiador |
aff_country | código do país de afiliação do autor |
aff_institution | instituição de afiliação do autor |
volume | volume do artigo |
issue | número do artigo |
elocation | elocation |
doi | número DOI |
issn | ISSN da revista |
in | código da coleção SciELO (ex. scl - Brasil, col - Colômbia) |
use_license | código da licença de uso do artigo |