[Resection of tumor stenoses and stent implantations in advanced neoplasms of the esophagus, stomach and duodenum].

D Tübergen, L Biermann, N Senninger
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Abstract

Up to now many people demand treatment only with symptoms of a progressed cancer disease. As curative therapy is often not possible any more, endoscopy offers valuable palliative treatment options. Tumor destructive methods are mainly used for soft exophytic neoplastic tissue, whereas stent implantation is the therapy of choice in all other cases, especially if severe obstruction is present. The advantage of this method is the immediate and long lasting effect. Because of the different stent types and indications there is no optimal universal stent, so that we have to choose the individual best endoprosthesis.

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[食管、胃、十二指肠晚期肿瘤狭窄切除及支架植入术]。
到目前为止,许多人只在出现癌症进展的症状时才要求治疗。由于治愈性治疗通常不再可能,内窥镜检查提供了有价值的姑息治疗选择。肿瘤破坏方法主要用于软外生性肿瘤组织,而支架植入术是所有其他情况下的治疗选择,特别是如果存在严重的梗阻。这种方法的优点是立竿见影,效果持久。由于支架类型和适应症不同,没有最优的通用支架,因此我们必须选择个体最佳的内假体。
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