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Articolul urmator |
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Ultima descărcare din IBN: 2022-06-17 09:16 |
SM ISO690:2012 UNGUREANU, Sergiu, ISTRATE, Viorel, ŞIPITCO, Natalia, FOSA, Doina. Rezultatele tratamentului chirurgical multimodal la pacienții cu metaplazie epitelială columnară de mucoasă esofagiană . In: Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”, 21-23 octombrie 2020, Chişinău. Chişinău: USMF, 2020, p. 459. |
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Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu” 2020 | |||||
Congresul "Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”" Chişinău, Moldova, 21-23 octombrie 2020 | |||||
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Pag. 459-459 | |||||
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Background. The aspects that determine the evolution of the disease and the results of the treatment are the divergences in the definition of esophageal columnar metaplasia with subsequent flaws in modern minimally invasive therapeutic options, the forms of the screening and patient surveillance. Objective of the study. The assessment of the results of surgical multimodal treatment in patients with columnar esophageal metaplasia through implementation of modern methods of treatment: endoluminal and laparoscopic. Material and Methods. The material represents a prospective study , cohort type, with statistical evaluation of the multimodal treatment in 61 patients with chronic forms of development of the gastroesophageal reflux disease that result in columnar esophageal metaplasia. Results. The treatment consisted of drugs, endoluminal (4 endoscopic mucosal disection, 22 endoscopic submucosal resections, 35 Argon Plasma coagulation) and laparoscopic (6 Hil-Toupet, 24 Hill-Nissen-Rossetti, 31 Hill-Lortat-Jacob) stage. The complete remission of esophageal metaplasia and gastroesophageal reflux disease through the applied treatment was detected in 58 patients with ECM, 2 patients presented relapse with metaplasia of different degree. In approximately 1% postoperative complications (postsurgical stenosis, remaining metaplasic islands) were assessed, and approximately 2% of patients presented complications in antireflux surgery stage. Conclusion. ECM treatment requires interdisciplinary co-op (endocopist, histopathologist, surgeon) with the use of endoluminal ablation as a first step and antireflux surgery as a second step. |
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Cuvinte-cheie esophageal metaplasia, gastroesophageal reflux disease, metaplazie esofagiană, boala de reflux gastro-esofagian |
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