Boston Scientific Launches The Captivator EMR Device To Treat Diseases Of The Upper GI Tract

Boston Scientific Corporation has announced the launch of the Captivator EMR Device for Endoscopic Mucosal Resection (EMR), a minimally invasive alternative to an esophagectomy, a surgical procedure that removes part of the esophagus in upper gastrointestinal (GI) tract cases.
Source: Medical Design Online News - Category: Medical Equipment Source Type: news

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Abstract Esophageal carcinoma is a highly lethal cancer associated with high morbidity and mortality. Esophageal squamous cell carcinoma and esophageal adenocarcinoma are the two distinct histological types. There has been significant progress in endoscopic diagnosis and treatment of early stages of cancer using resection and ablation techniques, as shown in several trials in the recent past. Earlier detection of esophageal cancer and advances in treatment modalities have lead to improvement in the 5-year survival from 5% to about 20% in the past decade. Endoscopic eradication therapy is the preferred modality of ...
Source: World Journal of Gastroenterology : WJG - Category: Gastroenterology Authors: Tags: World J Gastroenterol Source Type: research
This study verified the SN concept in early-stage upper GI disease with cN0 and found that function-preserving esophagectomy or gastrectomy may help maintain patients ’ post-surgical QOL.
Source: Clinical and Experimental Metastasis - Category: Cancer & Oncology Source Type: research
CONCLUSION: The linear-stapled esophagogastric anastomosis is a safe and effective anastomotic technique, which can decrease the rate of leak, postoperative dysphagia, and anastomotic stricture. As in this technique only two linear staplers are used in comparison to other techniques where three or more staplers are used, it is also cost-effective. The procedure deserves more attention and further application.
Source: Indian Journal of Cancer - Category: Cancer & Oncology Authors: Source Type: research
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 70-year-old man is evaluated in follow-up for heartburn of 7 years’ duration. He has frequent nocturnal reflux but has not had odynophagia or dysphagia, and his weight has been stable. He was recently started on once-daily omeprazole with good control of his symptoms. He has a 30-pack-year history of cigarette smoking and continues to smoke. On physical examination, vital signs are normal; BMI is 29. The remainder of the physical examination is normal. He is concerned about his long-term heartbur...
Source: Kevin, M.D. - Medical Weblog - Category: General Medicine Authors: Tags: Conditions Gastroenterology Source Type: blogs
Gastrointestinal (GI) perforations, leaks, and fistulas are types of full-thickness mural defects that can result in significant morbidity and mortality. These defects frequently occur as complications from GI surgeries such as esophagectomy and bariatric surgery. Historically, treatment of these complications has entailed a combination of reoperation, percutaneous drainage, antimicrobial therapy, and bowel rest. More recently, there has been a changing paradigm in the management strategy of these defects.
Source: Gastrointestinal Endoscopy - Category: Gastroenterology Authors: Tags: Oral abstract Source Type: research
Abstract Esophageal cancer incidence rate per 100,000 is 4.7 in 2013, which accounts for 1.1% of the total cancer incidence in Korea. Superficial esophageal squamous cell carcinoma is frequently detected in persons undergoing upper endoscopy for gastrointestinal symptoms or for gastric cancer screening. Esophagectomy with lymph node dissection is the standard treatment for esophageal cancer. However, given the considerable morbidity and mortality of esophagectomy, endoscopic resection has become the standard of care for most cases of superficial esophageal squamous cell carcinoma without metastasis. In addition, e...
Source: Korean J Gastroenter... - Category: Gastroenterology Authors: Tags: Korean J Gastroenterol Source Type: research
Conclusions Based on this study, regular follow-up without additional treatment may be considered as another choice for elderly patients with early esophageal SCC and relative indications after ESD. [...] © Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text
Source: Endoscopy - Category: Gastroenterology Authors: Tags: Original article Source Type: research
Endosc Int Open 2018; 06: E350-E353 DOI: 10.1055/s-0043-121883 Background and study aims A 70-year-old-man underwent an esophagectomy and posterior mediastinal reconstruction for esophageal cancer that was curatively resected. Although the patient was allowed to eat after surgery, he repeatedly vomited after drinking water or eating meals and required continuous hospitalization. An upper gastrointestinal series and endoscopic examination revealed an obstruction due to the flexure of the gastric conduit, which was repeatedly treated with endoscopic balloon dilation. Endoscopic balloon dilation was completely ineffec...
Source: Endoscopy International Open - Category: Gastroenterology Authors: Tags: Case report Source Type: research
Conclusion: Temporary oesophagal exclusion and primary repair, reinforced by diaphragmatic flap, represent efficient alternative technique in management of mediastinal and systemic sepsis due to intrathoracic oesophagal AL
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Thoracic Surgery Source Type: research
ConclusionsPatients with squamous cell carcinoma in the upper esophagus with cardiovascular disease who develop postoperative anastomotic leakage should be carefully monitored to prevent the development of benign anastomotic stricture.
Source: Surgery Today - Category: Surgery Source Type: research
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