All

What are you looking for?

All
Projects
Results
Organizations

Quick search

  • Projects supported by TA ČR
  • Excellent projects
  • Projects with the highest public support
  • Current projects

Smart search

  • That is how I find a specific +word
  • That is how I leave the -word out of the results
  • “That is how I can find the whole phrase”

Prevention of esophageal strictures after circumferential endoscopic submucosal dissection

The result's identifiers

  • Result code in IS VaVaI

    <a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F61988987%3A17110%2F18%3AA1901VYS" target="_blank" >RIV/61988987:17110/18:A1901VYS - isvavai.cz</a>

  • Alternative codes found

    RIV/00216208:11110/18:10380161 RIV/00216208:11130/18:10380161 RIV/00023001:_____/18:00077438 RIV/61383082:_____/18:00000443 RIV/67985904:_____/18:00506486

  • Result on the web

    <a href="http://dx.doi.org/10.23736/S0026-4733.18.07751-9" target="_blank" >http://dx.doi.org/10.23736/S0026-4733.18.07751-9</a>

  • DOI - Digital Object Identifier

    <a href="http://dx.doi.org/10.23736/S0026-4733.18.07751-9" target="_blank" >10.23736/S0026-4733.18.07751-9</a>

Alternative languages

  • Result language

    angličtina

  • Original language name

    Prevention of esophageal strictures after circumferential endoscopic submucosal dissection

  • Original language description

    Endoscopic submucosal dissection or widespread endoscopic resection allow the radical removal of circumferential or near-circumferential neoplastic esophageal lesions. The advantage of these endoscopic methods is mini-invasivity and low risk of major adverse events compared to traditional esophagectomy. The major drawback of these extensive resections is the development of stricture - the risk is 70-80% if more than 75% of the circumference is removed and almost 100% if the whole circumference is removed. Thus, an effective method to prevent post-ER/ESD esophageal stricture would be of major benefit, because treatment of strictures requires multiple sessions of endoscopic dilatation and may carry a risk of perforation. Moreover, not all strictures are easy to treat and some patients may develop refractory strictures. There are several techniques and methods, which have been tested in both experimental and/or clinical studies but no one has received general acceptance based on results of high-quality evidence. The studies are usually small with a limited number of patients, there is a lack of randomized controlled trials and some techniques have been described only in experimental studies. Thus, prevention of post-ESD strictures remains an unresolved issue. On the other hand, because of the high risk of stricture and partially proven effectiveness of some preventive techniques, a preventive strategy should be considered in patients undergoing extensive ER/ESD in the esophagus. There is, however, no evidence about the superiority or inferiority of a particular preventive strategy compared to other techniques, moreover, there is paucity of data assessing the effectiveness of the combination of different preventive methods. The best preventive strategies known so far include 1) oral or local administration of corticosteroids; and 2) preventive stenting.

  • Czech name

  • Czech description

Classification

  • Type

    J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database

  • CEP classification

  • OECD FORD branch

    30212 - Surgery

Result continuities

  • Project

    Result was created during the realization of more than one project. More information in the Projects tab.

  • Continuities

    V - Vyzkumna aktivita podporovana z jinych verejnych zdroju

Others

  • Publication year

    2018

  • Confidentiality

    S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Data specific for result type

  • Name of the periodical

    MINERVA CHIRURGICA

  • ISSN

    0026-4733

  • e-ISSN

    1827-1626

  • Volume of the periodical

    73

  • Issue of the periodical within the volume

    4

  • Country of publishing house

    IT - ITALY

  • Number of pages

    16

  • Pages from-to

    394-409

  • UT code for WoS article

    000445223700006

  • EID of the result in the Scopus database

    2-s2.0-85051121742