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Adenocarcinoma of the Cardia and Carcinoma Epidermoid...

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The resource implications of re-intervention should be considered in the overall assessment of palliative care.

Adenocarcinoma of the Cardia and Carcinoma Epidermoid...

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Tumour Progression. The gastric adenocarcinoma has overgrowth into the stent. The image shows the site of the bleeding.

Adenocarcinoma of the Cardia and Carcinoma Epidermoid...

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While repeated stenting is usually successful, debridement and laser vaporisation are viable alternatives for proximal tumour overgrowth or ingrowth in the upper or middle third of the esophagus. Distal...

Adenocarcinoma of the Cardia and Carcinoma Epidermoid...

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Six months after the placement of the stent. The patient had several episodies of hematemesis and melena requiring multiple blood transfusion. The image as well as the video clip show the superior...

Adenocarcinoma of the Cardia and Carcinoma Epidermoid...

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More images and videos. Esophageal stent placed four weeks previously, retroflexed view of the stent emerging through the tumor into the stomach.

Adenocarcinoma of the Cardia and Carcinoma Epidermoid...

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In this image and the video clip, the stent is appreciated, emerging from the cardias. Retroflexed image, the adenocarcinoma is constricting the cardias.

Adenocarcinoma of the Cardia and Carcinoma Epidermoid...

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A follow up endoscopy four weeks after the stent was placed. The Z-stent consists of a series of stainless-steel wire cages bent into 2-cm-long segments in a "zigzag" configuration. This urethane-covered...

Adenocarcinoma of the Cardia and Carcinoma Epidermoid...

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Anti-Reflux Stent This endoscopic image displays Anti-Reflux valves of the stent. Self-expanding metal stents (SEMS) have become accepted palliation for inoperable malignant esophageal obstruction.

Adenocarcinoma of the Cardia and Carcinoma Epidermoid...

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View through the stent. Successfully deployed Self-expanding stent in the esophagus under fluroscopy control. This image and the video clip were taken ten days after the procedure.

Adenocarcinoma of the Cardia and Carcinoma Epidermoid...

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After the recanalization, We took advantage of introduced the endoscope to the gastric camera and to apply more coagulation to the tumor. The argon arc contacts tissue closest to the electrode allowing...

Adenocarcinoma of the Cardia and Carcinoma Epidermoid...

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Recanalization enabling passage of normal food. After four session of high power setting of argon plasma coagulator, we managed to have a suitable opening of the cardia.

Adenocarcinoma of the Cardia and Carcinoma Epidermoid...

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Several session of ablative therapy was performed in order to overpass the cardias with the endoscope. APC is a noncontact electrocoagulation device that uses high-frequency monopolar current conducted...

Adenocarcinoma of the Cardia and Carcinoma Epidermoid...

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Endoscopic appearance, after one week of the ablative therapy of the tumor. Ablative therapy of the tumor for removing voluminous masses of tissues and especially for recanalisations of stenoses of...

Adenocarcinoma of the Cardia and Carcinoma Epidermoid...

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Recanalization of the Esophagus. Argon plasma coagulation (APC) is an ablative endoscopic technique. The patient received the therapy by four different days with an interval of four days, After the...

Adenocarcinoma of the Cardia and Carcinoma Epidermoid...

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Debulking of the tumor. Palliative treatment with high power setting of argon plasma coagulator APC. The image and the video clip shows the APC catheter, The APC probe produces a plasma arc that...

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