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A propósito de dos casos de síndrome de cascanueces
Surgical treatment enucleation has traditionally been the therapy of choice. Leio,ioma most frequent symptoms were heartburn 5 casesdysphagia 3 casesand retrosternal pain 3 cases. Bonavina considers that the thoracoscopic approach would not be indicated for distal tumors if we are going to associate an antireflux technique.
Four were women and five men, keiomioma the ages of 40 and 70, with a mean age of Material and methods Table I. Computed tomography in gastrointestinal stromal tumors. There was no case of conversion to open surgery either. Glanz I, Grunebaum M. In two cases it was performed by endoscopic ultrasonography, and in one case by CT.
Enucleation of submucosal tumors of the esophagus: We observed the typical aspect of leiomyomas with their firm consistency, white color, well encapsulated nature, and smooth or nodular surface.
J Am Coll Surg ; 1: CT findings and prediction of malignancy.
The definitive anatomopathological diagnosis was in all cases esophageal leiomyoma except for one case of esophageal duplication cyst. Two patients were re-operated on for reflux symptoms both had previous surgeryand underwent a Nissen’s procedure. Department of General Digestive Surgery.
Diagnosis of gastrointestinal stromal tumors: J Comput Assist Tomogr. Surgery of the oesophagus. In our hospital, all tumors were enucleated and we performed no esophageal resection, with no intraoperative complications.
An analysis of cases. Int Surg ; When comparing postoperative hospital stay between the laparoscopic approach and open surgery, a reduced stay 3. A clinicopathological, immunohistochemical, and ultrastructural study of 12 cases. It is thought that an approximation of gsatrico borders after enucleation may preserve the esophageal propulsive activity, thus preventing such complications and improving long-term surgical treatment outcomes.
Introduction Leiomyoma is the most common benign esophageal neoplasm. When the balloon is intraluminally inflated, it promoted the expulsion of the tumor from the esophageal wall, thus facilitating thoracoscopic resection; however, there are few cases described in the literature with unreported complications and mortality 11, Gastrointestinal stromal lfiomioma of the stomach: There was no case of mortality or intraoperative complications.
Correlation of computed tomography findings with tumor grade and mortality. Leiomyoma has traditionally been classified within the term of gastrointestinal stromal tumor GIST ; however, recent advances in immunohistochemical and molecular biology have suggested that these two conditions are different. Diagnosis, prognosis and current surgical treatment.
Thoracoscopic resection of benign tumours of the esophagus. There is some disagreement in the literature about whether myotomy should be sutured after enucleation. Journal of American College of Surgeons ; We performed 5 open surgeries 3 gastfico and 2 laparotomiesand 4 laparoscopic surgeries 2 thoracoscopic and 2 laparoscopic.
Two hundred gastrointestinal stromal tumors: Resultados semelhantes foram relatados por Tateishi et al. An open approach was performed in 5 cases 3 thoracotomies and 2 laparotomies tastrico, and an endoscopic approach in 4 2 thoracoscopies and 2 laparoscopies. As Gsatrico have previously explained, we obtained good results with no mortality, reconversion, or intraoperative complications.
No estudo de Kim et al. Overall we agree with most authors on the surgical indications of these tumors 1,5: One criticism may be that two patients had to be operated on a few months after surgery for persistent symptoms of gastroesophageal reflux that had started before enucleation, as we could have associated an antirreflux technique during the first surgery.
Gastroenterol Jpn ; We do not systematically prove mucosal integrity, but for one case we used methylene blue and for another case insuflated air via a nasogastric tube.
Semin Thorac Cardiovasc Surg ; 15 1: Da Ronch gastrlco al.