Benign Strictures of the Gastrointestinal Tract

Anand, A C; Kalra, S P

doi:10.1016/s0377-1237(17)30868-7

Cited by 3 publications

(2 citation statements)

References 13 publications

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“…The most common etiologies of benign upper GI strictures include peptic ulcer disease, chronic pancreatitis, extrinsic compression due to acute pancreatitis, post-surgical anastomotic strictures, or ischemic strictures. Common sites of benign upper GI strictures include the esophagus, the pylorus, the duodenum, and surgical anastomoses [ 1 - 3 ]. Palliative surgery and endoscopic stenting techniques are currently employed for the management of malignant strictures [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

Safety and Efficacy of Fully Covered Self-Expandable Metal Stents for Benign Upper Gastrointestinal Strictures Beyond the Esophagus

Randhawa¹,

Khalyfa²,

Khan³

et al. 2022

Cureus

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BackgroundStents utilized for pyloric, duodenal, or anastomotic malignant strictures are generally uncovered and are not retrievable. Taewoong Medical created a through-the-scope stent that is fully covered, retrievable, and can be placed beyond the esophagus for benign gastroduodenal strictures as an alternative to surgical approaches. The aim of this paper is to examine the safety and efficacy of short-term, fully covered, selfexpanding metal stents (FC-SEMS) in refractory benign strictures of the pylorus, duodenum, and gastrojejunal anastomosis. MethodologyThis multicenter case series was conducted at four hospitals from January 2018 through December 2020. Patients presenting with benign strictures of the pylorus, duodenum, or gastrojejunal anastomosis were entered into the study. A therapeutic channel scope was utilized to place FC-SEMS to open strictures. The stents were removed a few weeks later. A four-point gastric outlet obstruction scoring system (GOOSS) was used to record improvement. ResultsStatistically significant improvement in GOOSS was found between the pre-procedure and the four-week follow-up. ConclusionsFully covered, retrievable metal stents appear safe and effective in the management of refractory benign pyloric, duodenal, and anastomotic strictures. This may provide a less invasive option in the management of these strictures compared to surgery.

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Section: Introductionmentioning

confidence: 99%

Safety and Efficacy of Fully Covered Self-Expandable Metal Stents for Benign Upper Gastrointestinal Strictures Beyond the Esophagus

Randhawa¹,

Khalyfa²,

Khan³

et al. 2022

Cureus

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“…For some, their gums loosen and teeth fall out (Saini et al, 2013;Shekarchizadeh et al, 2013). Continuous corrosion of gastrointestinal tract lead to Gastroesophageal reflux disease (GERD) and esophageal cancer (Anand and Kalra, 1996;Chen et al, 2010). Volatile compounds and aldehydes in the brew are carcinogenic in nature (Humia et al, 2019(Humia et al, , p. 1568.…”

Section: Introductionmentioning

confidence: 99%

Health Impacts of a Traditional Illicit Brew (Kaanga) Consumed in Meru County, Kenya

Gitari

Aloys

Chaka

et al. 2020

EUROPEAN J ENV PUBLI

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Kaanga brew is a common illicit liquor from Meru county in Kenya. Popularity of this brew has been growing and is religiously passed down from one generation to the next. The substrates, preparation process and additives used in making it are unhygienic and toxic. As a result, numerous social and health effects have stemmed from its consumption. This study aimed at analyzing the health impacts arising from consumption of Kaanga brew in Meru county, Kenya. A cross-sectional design of study was employed. The research tools used included questionnaires, interviews and observations. Descriptive statistics was used to analyze and present the findings. The results indicated that popularity of this brew was mainly because it was cheaper than other alcoholic beverages. Its consumption was projected to continue for a long period, if strict intervention measures are not taken. The additives used, such as battery acid, methanol and dry cells were indeed toxic for human consumption. Several social effects which had public health effects (such as irresponsible sex activities), by extension were experienced from the consumers. Kaanga brew had significantly more chances (P > 0.05) of causing health effects compared to the other brews. Some of the direct health conditions arising from its consumption include loss of vision, memory and appetite, inflammation and regular stomach upsets. 80% of the respondents had witnessed or heard of a death case caused by the brew.

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