Palliative transtumoral intubation in neoplastic esophageal strictures. A new prosthesis with an anti-reflux device

Intubación transtumoral paliativa en la estenosis neoplásicas del esófago. Una nueva prótesis con dispositivo antirreflujo

Davidenko, Nicolás - Chifflet, Juan - Gómez Fossati, Carlos - Tiscornia, Eduardo - Pradines, Jorge

Resumen:

A preliminary report is made on the excellent palliative results obtained in a first group of 8 cases with a new prosthesis far endoluminal intubation of advanced esophageal or cardial carcinoma. Ibis includes an original and efficient device which prevents gastroesophageal regurgitation and subsequent peptic esophagitis which is often caused by this treatment.This consists in adapting to the lower end of a rigid tube which enters the tumoral stenosis, a thin latex tube of 8 or 10 cm. in length, the walls of whichcollapse when endogastric pressure increases, trus preventing reflux. X-Ray and radiocinematographic studies showed excellent operation of the valvular system in all the cases explored At the same time mentían is made of the convenience of complementary pyloroplasty as an additional support to prevent reflux. 


Se realiza una comunicac10n preliminar sobre los exce!entes resultados paliativos obtenidos en una serie inJcia! de 8 casos, con una nueva prótesispara la intubación endoluminal del neoplasma avanza.do de esófago o de cardias. Ella incluye un dispositivo valvular original y eficaz, que evitae! reflujo gastroesofágico y la esofagitis péptica consecutiva que resultan de .este procedimiento, a vec es muy invalidantes- Consiste en laadaptación a! extremo inferior del tubo rígido que franquea la esten, osis tumoral, de un tubo de látex el.e fino espesor, de 8 a 10 cm. de longitud, cuyas paredes se colapsan al aumentar la presión endogástrica, evitando el reflujo. Los estudios radiológicos y radiocinematográficos mostraron elexcelente funcionamienoo- del sistema valvular en todos los casos explorados. Se plantea a.demás la conveniencia de la píloroplastia complementaria como· medida coa1¡yuvantepara la prevención de dicho reflujo. 


Detalles Bibliográficos
1975
cáncer de esofágo
cirugía
prótesis
esophagus cancer
surgery
prosthesis
Español
Sociedad de Cirugía del Uruguay
Revista Cirugía del Uruguay
https://revista.scu.org.uy/index.php/cir_urug/article/view/2525
Acceso abierto
Resumen:
Sumario:A preliminary report is made on the excellent palliative results obtained in a first group of 8 cases with a new prosthesis far endoluminal intubation of advanced esophageal or cardial carcinoma. Ibis includes an original and efficient device which prevents gastroesophageal regurgitation and subsequent peptic esophagitis which is often caused by this treatment.This consists in adapting to the lower end of a rigid tube which enters the tumoral stenosis, a thin latex tube of 8 or 10 cm. in length, the walls of whichcollapse when endogastric pressure increases, trus preventing reflux. X-Ray and radiocinematographic studies showed excellent operation of the valvular system in all the cases explored At the same time mentían is made of the convenience of complementary pyloroplasty as an additional support to prevent reflux.