J.Jpn. Surg. Soc.
ISSN 1880-1129

[Abstract] [Full Text PDF] （in Japanese / 3596KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 100(2): 220-227, 1999

Feature topic

INTERVENTIONAL RADIOLOGY FOR RECURRENT CANCER

Department of Radiology, Nara Medical University, Kashihara, Japan

Hideo Uchida, Takehiro Tanaka, Hiroshi Sakaguchi, Tetsuya Yoshioka, Hiroshi Anai

The indications for the reoperative treatment for postoperative recurrence of cancer in the field of gastroenterology are usually limited. Interventional radiology (IVR), which is less invasive and effectively enhances the quality of life, will play an important role in the treatment of patients with postoperative recurrent cancer. This paper evaluate IVR as a therapeutic strategy for postoperative recurrent cancer in gastroenterology based on our experience. Metallic stents have proven useful for stenosis of the alimentary tract due to recurrence after surgery for esophageal or gastric cancer and for jejuno-biliary anastomotic stenosis caused by postoperative recurrent bile duct cancer. Segmental Lipiodol TAE is rnore effective and result in better cumulative survival rates than conventional TAE in the treatment of postoperative recurrence of hepatoma.

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