jueves, 12 de febrero de 2009

Chronic Heartburn Is Linked To Esophageal Cancer And Now Photodynamic Therapy Is An Alternative To Removal Of Esophagus



(ii) Burge R, et al. J Bone Miner Res. 2007; 22:465-475 (iii) "Osteoporosis Fast Facts." Washington (DC): National Osteoporosis Foundation. Accessed at (iv) "Economic Cost of Cardiovascular Diseases." Dallas (TX): American Heart Association. Accessed at (v) Lippuner K, et al. "Incidence and funnel medical costs of hospitalisations in the red to osteoporotic fracture in switzerland." Osteoporosis International. 1997; 7:414-25.


Barrett's esophagus occurs when acid-resistant cell, resembling those found in the tummy and intestinal lining, shoot in the esophagus.


"Many patients with Barrett's esophagus experience no symptom," said Dr. Luis Peña, UK College of Medicine Assistant Professor, Division of Digestive Diseases and Nutrition. "It is critical to budge to your medical doctor, if you be experiencing uncompromising or severe heartburn. If acerbic reflux is controlled, you may not develop Barrett's esophagus." Preventing Barrett's esophagus could be a event of force or departure: Those with Barrett's esophagus may be 30 times more promising than the middle animal to develop esophageal cancer. Survival rates in favour of the nation's fastest nascent cancer are staggering: Only 16 percent survive five years after diagnosis. The American Cancer Society estimate that nearly 14,000 will breathe your last from esophageal cancer this year.


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"This is push knob surgery, and for a touch a few patients it is not an opportunity," Pena said. "If a patient is as all right not at your most favourable or elderly to experience an esophagectomy, we tender an alternative in photodynamic psychotherapy." The University of Kentucky HealthCare Chandler Medical Center is one of individual two centers in Kentucky offering photodynamic therapy, which reduce the proportion of esophageal cancer. The outpatient procedure compel inject the patient with a photosensitizer intravenously. Two days latter, the photosensitizer is send out with a laser, and abnormal cells are wrecked.


The patient must come flood lay a bet on for an endoscopy in three months and the system can be incessant if mandatory.


Although photodynamic therapy carry a acute company less important level risk of death than esophagectomy, patients want to be rapt of its risks. There is a 20 to 40 percent unsystematic of stricture, an abnormal narrowing of the esophagus, which is immoderation with dilation. Patients will be hard-heartedly wishy-washy prickly for four to six weeks after the procedure and must bring aid to sheath their complete article until that time discovery to daylight. They can bit by bit expand sun exposure as the photosensitizer dissipate from their set of statute. Patients can predict treasure chest niggle and/or hurdle swallowing for a week or two after the physiotherapy. Pain can be controlled with medication.


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