Endoscopic Procedures for Upper Gastrointestinal Tract Lesions and a Brief Review of Literature
Introduction:We evaluated the efficacy, safety, short- and long-term results of balloon, bougie dilatations and self-expandable metallic stent (SEMS) procedures in benign and malignant obstruction of upper gastrointestinal tract (UGIT) in the last 6 years of the tertiary referral center.Methods:This...
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| Format: | Article |
| Language: | English |
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Galenos Yayinevi
2022-05-01
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| Series: | İstanbul Medical Journal |
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| Online Access: |
http://istanbulmedicaljournal.org/archives/archive-detail/article-preview/endoscopic-procedures-for-upper-gastrointestinal-t/52050
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| _version_ | 1797915855567192064 |
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| author | Selim Doğan Ekrem Çakar Bünyamin Gürbulak Şükrü Çolak Hasan Bektaş Cihad Tatar |
| author_facet | Selim Doğan Ekrem Çakar Bünyamin Gürbulak Şükrü Çolak Hasan Bektaş Cihad Tatar |
| author_sort | Selim Doğan |
| collection | DOAJ |
| description | Introduction:We evaluated the efficacy, safety, short- and long-term results of balloon, bougie dilatations and self-expandable metallic stent (SEMS) procedures in benign and malignant obstruction of upper gastrointestinal tract (UGIT) in the last 6 years of the tertiary referral center.Methods:This study is a retrospective review of all patients who underwent bougie, balloon dilatation and SEMS procedures because of benign or malignant lesions of UGIT from January 2014 to 2020 in a tertiar referral center. The demographics of patients, indications, technical and clinical success, complications and surveillance records were collected from the hospital database system.Results:In the last 6 years, a total of 530 procedures, including 209 SEMS (152 SEMS placement, 57 SEMS removal), 297 bougie dilatation (Savary-Gilliard), 20 balloon dilatation and 4 percutan endoscopic gastrostomy procedures, were performed for 140 patients in our clinic. Eighty-nine patients were male and 51 patients were female and the median age of the patients was 59.6 years. The technical success rate with SEMS was 98% and the clinical success rate was 93.5% when it was provided for oral intake and purpose. The complication rate was 12% (n=64), immediate and early complication rates were 7.16% (n=38), and the late complication rate was 4.9% (n=26).Conclusion:Serial dilatation with a balloon or bougie and SEMS can be successfully applied to UGIT fistulas and strictures without increasing complication rates. |
| first_indexed | 2024-04-10T12:48:04Z |
| format | Article |
| id | doaj.art-158cdc915add49b3a4dbab885e85a71c |
| institution | Directory Open Access Journal |
| issn | 2619-9793 2148-094X |
| language | English |
| last_indexed | 2024-04-10T12:48:04Z |
| publishDate | 2022-05-01 |
| publisher | Galenos Yayinevi |
| record_format | Article |
| series | İstanbul Medical Journal |
| spelling | doaj.art-158cdc915add49b3a4dbab885e85a71c2023-02-15T16:13:55ZengGalenos Yayineviİstanbul Medical Journal2619-97932148-094X2022-05-0123215415810.4274/imj.galenos.2022.2700313049054Endoscopic Procedures for Upper Gastrointestinal Tract Lesions and a Brief Review of LiteratureSelim Doğan0Ekrem Çakar1Bünyamin Gürbulak2Şükrü Çolak3Hasan Bektaş4Cihad Tatar5 University of Health Sciences Turkey, İstanbul Training and Research Hospital, Clinic of General Surgery, İstanbul, Turkey University of Health Sciences Turkey, İstanbul Training and Research Hospital, Clinic of General Surgery, İstanbul, Turkey University of Health Sciences Turkey, İstanbul Training and Research Hospital, Clinic of General Surgery, İstanbul, Turkey University of Health Sciences Turkey, İstanbul Training and Research Hospital, Clinic of General Surgery, İstanbul, Turkey University of Health Sciences Turkey, İstanbul Training and Research Hospital, Clinic of General Surgery, İstanbul, Turkey University of Health Sciences Turkey, İstanbul Training and Research Hospital, Clinic of General Surgery, İstanbul, Turkey Introduction:We evaluated the efficacy, safety, short- and long-term results of balloon, bougie dilatations and self-expandable metallic stent (SEMS) procedures in benign and malignant obstruction of upper gastrointestinal tract (UGIT) in the last 6 years of the tertiary referral center.Methods:This study is a retrospective review of all patients who underwent bougie, balloon dilatation and SEMS procedures because of benign or malignant lesions of UGIT from January 2014 to 2020 in a tertiar referral center. The demographics of patients, indications, technical and clinical success, complications and surveillance records were collected from the hospital database system.Results:In the last 6 years, a total of 530 procedures, including 209 SEMS (152 SEMS placement, 57 SEMS removal), 297 bougie dilatation (Savary-Gilliard), 20 balloon dilatation and 4 percutan endoscopic gastrostomy procedures, were performed for 140 patients in our clinic. Eighty-nine patients were male and 51 patients were female and the median age of the patients was 59.6 years. The technical success rate with SEMS was 98% and the clinical success rate was 93.5% when it was provided for oral intake and purpose. The complication rate was 12% (n=64), immediate and early complication rates were 7.16% (n=38), and the late complication rate was 4.9% (n=26).Conclusion:Serial dilatation with a balloon or bougie and SEMS can be successfully applied to UGIT fistulas and strictures without increasing complication rates. http://istanbulmedicaljournal.org/archives/archive-detail/article-preview/endoscopic-procedures-for-upper-gastrointestinal-t/52050 endoscopic balloon and bougie dilatationself-expandable metallic stentupper gastrointestinal strictures |
| spellingShingle | Selim Doğan Ekrem Çakar Bünyamin Gürbulak Şükrü Çolak Hasan Bektaş Cihad Tatar Endoscopic Procedures for Upper Gastrointestinal Tract Lesions and a Brief Review of Literature İstanbul Medical Journal endoscopic balloon and bougie dilatation self-expandable metallic stent upper gastrointestinal strictures |
| title | Endoscopic Procedures for Upper Gastrointestinal Tract Lesions and a Brief Review of Literature |
| title_full | Endoscopic Procedures for Upper Gastrointestinal Tract Lesions and a Brief Review of Literature |
| title_fullStr | Endoscopic Procedures for Upper Gastrointestinal Tract Lesions and a Brief Review of Literature |
| title_full_unstemmed | Endoscopic Procedures for Upper Gastrointestinal Tract Lesions and a Brief Review of Literature |
| title_short | Endoscopic Procedures for Upper Gastrointestinal Tract Lesions and a Brief Review of Literature |
| title_sort | endoscopic procedures for upper gastrointestinal tract lesions and a brief review of literature |
| topic | endoscopic balloon and bougie dilatation self-expandable metallic stent upper gastrointestinal strictures |
| url |
http://istanbulmedicaljournal.org/archives/archive-detail/article-preview/endoscopic-procedures-for-upper-gastrointestinal-t/52050
|
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