What can the Interventional Endoscopist Offer in the Management of Upper Gastrointestinal Malignancies?

被引：1

作者：

Basiliya, K. ^{[1
]}

Pang, P. ^{[1
]}

Honing, J. ^{[2
]}

di Pietro, M. ^{[2
]}

Varghese, S. ^{[1
]}

Gbegli, E. ^{[3
]}

Corbett, G. ^{[1
]}

Carroll, N. R. ^{[3
]}

Godfrey, E. M. ^{[3
]}

机构：

[1] Cambridge Univ Hosp, Addenbrookes Hosp, Dept Gastroenterol, Cambridge, England

[2] Univ Cambridge, Early Canc Inst, Cambridge, England

[3] Cambridge Univ Hosp, Addenbrookes Hosp, Dept Radiol, Cambridge, England

来源：

CLINICAL ONCOLOGY | 2024年 / 36卷 / 08期

关键词：

Endoscopic resection; malignant obstruction; oesophageal cancer; palliation; pancreatic cancer; stenting; GASTRIC OUTLET OBSTRUCTION; CELIAC PLEXUS NEUROLYSIS; PREOPERATIVE BILIARY DRAINAGE; BARRETTS-ESOPHAGUS; RADIOFREQUENCY ABLATION; PANCREATIC-CANCER; STENT PLACEMENT; ADVERSE EVENTS; NEOPLASIA; PAIN;

D O I：

10.1016/j.clon.2023.05.004

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

The therapeutic possibilities of endoscopy have rapidly increased in the last decades and now allow organ-sparing treatment of early upper gastrointestinal malignancy as well as an increasing number of options for symptom palliation. This review contains an overview of the interventional endoscopic procedures in upper gastrointestinal malignancies. It describes endoscopic treatment of early oesophageal and gastric cancers, and the palliative options in managing dysphagia and gastric outlet obstruction. It also provides an overview of the therapeutic possibilities of biliary endoscopy, such as retrograde stenting and radiofrequency biliary ablation. Endoscopic ultrasound-guided therapeutic options are discussed, including biliary drainage, gastrojejunostomy and coeliac axis block. To aid in clinical decision making, the procedures are described in the context of their indication, ef ficacy, risks and limitations. (c) 2023 The Royal College of Radiologists. Published by Elsevier Ltd. All rights reserved.

引用

页码：464 / 472

页数：9

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