| Malignant esophagogastric junction obstruction: efficacy of balloon dilation combined with chemotherapy and/or radiation therapy. | |
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MedLine Citation:
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PMID: 12616421 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: To assess the efficacy of balloon dilation combined with chemotherapy and/or radiation therapy for palliation of dysphagia due to malignant esophagogastric junction strictures. METHODS: Fluoroscopically guided balloon dilation was attempted in 20 patients. The causes of strictures were gastric adenocarcinoma (n = 10) and esophageal squamous cell carcinoma (n = 10). Scheduled chemotherapy and/or radiation therapy followed balloon dilation in all patients. RESULTS: There were no technical failures or major complications. After balloon dilation, 15 (75%) patients showed improvement of dysphagia. No patient complained of reflux esophagitis during the follow-up period. Among the 15 patients, seven needed no further treatment for palliation of dysphagia until their deaths. The remaining eight patients underwent repeat balloon dilation (n = 4) or stent placement (n = 4) 3-43 weeks (mean 15 weeks) after the initial balloon dilation because of recurrent dysphagia. CONCLUSION: Balloon dilation combined with chemotherapy and/or radiation therapy seems to be an easy and reasonably effective palliative treatment for malignant esophagogastric strictures. |
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Authors:
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Gi-Young Ko; Ho-Young Song; Heuk-Jin Hong; Kyu-Bo Sung; Tae-Seok Seo; Hyun-Ki Yoon |
Publication Detail:
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Type: Journal Article Date: 2003-03-06 |
Journal Detail:
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Title: Cardiovascular and interventional radiology Volume: 26 ISSN: 0174-1551 ISO Abbreviation: Cardiovasc Intervent Radiol Publication Date: 2003 Mar-Apr |
Date Detail:
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Created Date: 2003-06-18 Completed Date: 2003-12-11 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8003538 Medline TA: Cardiovasc Intervent Radiol Country: United States |
Other Details:
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Languages: eng Pagination: 141-5 Citation Subset: IM |
Affiliation:
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Department of Radiology, Asan Medical Center, University of Ulsan College of Medicine, 388-1, Poongnap-Dong, Songpa-Ku, Seoul 138-736, Korea. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aged, 80 and over Balloon Dilatation Blood Vessel Prosthesis Chemotherapy, Adjuvant Combined Modality Therapy Deglutition Disorders / etiology, mortality Esophageal Diseases / mortality, therapy* Esophagogastric Junction / surgery* Female Follow-Up Studies Gastric Outlet Obstruction / mortality, therapy* Humans Male Middle Aged Postoperative Complications / etiology, mortality, surgery Radiotherapy, Adjuvant Recurrence Reoperation Severity of Illness Index Stents Survival Analysis Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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