Esophageal Cancer Symptoms
Equipment
Esophageal cancer equipments
It takes the first stenosing lesion of the instruments these dilators, such as that of Savary-Gilliard and olives metal-Eder Puestow. Sometimes you prefer comfort to the dilatation balloon.
Esophageal cancer symptoms Types of implants
esophageal prosthesis, from left to right, Wilson-Cook, KeyMed-Atkinson, ESKA-Buess, tub of Medoc_CèlestinLe implants are like tubes, which are shaped such as polyvinyl chloride (Tygon), the external diameter of 15.7 mm and internal of 12.5 and a thickness of 1.6 mm, the prosthesis dobrebbe be longer than 5-6 cm from the lesion. The proximal end of the prosthesis is shaped precisely as a kind of funnel, heated to 100 ° C is stretched with a glass tube god.
Other implants are those of:
* Wilson-Cook made of silicone reinforced with metal wire
* KeyMed-Atkinson, a radiopaque rubber tube silicone COPN spiral nylon
* ESKA Buess-silicon
* The Medoc-Celestin tube made of latex with a nylon spiral
* Self-expandable metal prostheses:
* The Wallstent prosthesis and the corn that resemble giant Mollom made of alloy antioxidant, self-expandable and flexible seals that are compressed into a cylindrical membrane, which is withdrawn during placement.
The patient is evaluated, in each case prior to placement for cardiac activity, respiratory problems, kyphoscoliosis, etc..
Metal prosthesis: note that the sheath is withdrawn to expand the prosthesis that looks like a great spring, espansibile.Si proceeds expanding all cancers under control endoscopic / fluoroscopic, and if you can pass the lesion with a small endoscope to position itself more easily guide wire that will act as a sort of "track" on which to slide the instruments to avoid the risk of blindly take strange and peforare already damaged esophagus with grave harm to the patient. Proceed with the aim of placing dilators in increasing size. It is then pulled through the graft, using a push-tube prosthesis, still under fluoroscopic control. The metal implants do not require this practice, namely the expansion, in order to create closed, as if it were a wire with an outer casing which, once located at the right point, the prosthesis is pulled to allow expansion of the spring. It 'clear that this type of prosthesis is unlikely to be later withdrawn.
Complicating are:
* The perforation of the esophagus already impressed by the necrotic tumor lesion
* The placement of the prosthesis that can migrate into the stomach
* The growth of the tumor above the prosthesis
* Stenosis due to reflux esophagitis when the tumor is at the esophageal-gastric junction
* Clogging of the prosthesis (our patient's dream of eating the strangest things, including the Salt cod Messina!, For which there was ricorco at best to make him drink the famous Coca Cola which has therapeutic actions of "unblocking"! !)
Esophageal cancer equipments
It takes the first stenosing lesion of the instruments these dilators, such as that of Savary-Gilliard and olives metal-Eder Puestow. Sometimes you prefer comfort to the dilatation balloon.
Esophageal cancer symptoms Types of implants
esophageal prosthesis, from left to right, Wilson-Cook, KeyMed-Atkinson, ESKA-Buess, tub of Medoc_CèlestinLe implants are like tubes, which are shaped such as polyvinyl chloride (Tygon), the external diameter of 15.7 mm and internal of 12.5 and a thickness of 1.6 mm, the prosthesis dobrebbe be longer than 5-6 cm from the lesion. The proximal end of the prosthesis is shaped precisely as a kind of funnel, heated to 100 ° C is stretched with a glass tube god.
Other implants are those of:
* Wilson-Cook made of silicone reinforced with metal wire
* KeyMed-Atkinson, a radiopaque rubber tube silicone COPN spiral nylon
* ESKA Buess-silicon
* The Medoc-Celestin tube made of latex with a nylon spiral
* Self-expandable metal prostheses:
* The Wallstent prosthesis and the corn that resemble giant Mollom made of alloy antioxidant, self-expandable and flexible seals that are compressed into a cylindrical membrane, which is withdrawn during placement.
The patient is evaluated, in each case prior to placement for cardiac activity, respiratory problems, kyphoscoliosis, etc..
Metal prosthesis: note that the sheath is withdrawn to expand the prosthesis that looks like a great spring, espansibile.Si proceeds expanding all cancers under control endoscopic / fluoroscopic, and if you can pass the lesion with a small endoscope to position itself more easily guide wire that will act as a sort of "track" on which to slide the instruments to avoid the risk of blindly take strange and peforare already damaged esophagus with grave harm to the patient. Proceed with the aim of placing dilators in increasing size. It is then pulled through the graft, using a push-tube prosthesis, still under fluoroscopic control. The metal implants do not require this practice, namely the expansion, in order to create closed, as if it were a wire with an outer casing which, once located at the right point, the prosthesis is pulled to allow expansion of the spring. It 'clear that this type of prosthesis is unlikely to be later withdrawn.
Complicating are:
* The perforation of the esophagus already impressed by the necrotic tumor lesion
* The placement of the prosthesis that can migrate into the stomach
* The growth of the tumor above the prosthesis
* Stenosis due to reflux esophagitis when the tumor is at the esophageal-gastric junction
* Clogging of the prosthesis (our patient's dream of eating the strangest things, including the Salt cod Messina!, For which there was ricorco at best to make him drink the famous Coca Cola which has therapeutic actions of "unblocking"! !)
