VICTOR ROSSI BASTOS
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conferenceObject Clinical Outcomes of Endoscopic Submucosal Dissection for Superficial Esophageal Neoplasms of Patients With Head and Neck Cancer(2017) OLIVEIRA, Joel F.; MENDONCA, Ernesto Q.; MARTINS, Bruno da Costa; KAWAGUTI, Fabio S.; LIMA, Marcelo S. de; GEIGER, Sebastian N.; PENNACCHI, Caterina; GUSMON, Carla C.; UEMURA, Ricardo S.; BABA, Elisa R.; SAFATLE-RIBEIRO, Adriana V.; BASTOS, Victor R.; MOURA, Renata N.; LENZ, Luciano; PAULO, Gustavo A. de; MINATA, Mauricio K.; SORBELLO, Mauricio; RIBEIRO, Ulysses; MALUF-FILHO, FauzeconferenceObject Patency and Complications of Self-expandable Esophageal Metallic Stents in Patients with Advanced Malignant Disease and long term survival(2016) MEDEIROS, Vitor D.; MARTINS, Bruno da Costa; LIMA, Marcelo S.; BASTOS, Victor R.; GUSMON, Carla C.; SAFATLE-RIBEIRO, Adriana V.; BABA, Elisa R.; UEMURA, Ricardo S.; PAULO, Gustavo A. de; GEIGER, Sebastian N.; SORBELLO, Mauricio P.; PADUANI, Gabriela F.; LENZ, Luciano P.; KAWAGUTI, Fabio S.; PENNACCHI, Caterina; RIBEIRO, Ulysses; MALUF-FILHO, FauzeconferenceObject A New Way to Close an Enterocutaneous Chronic Fistula Using an Endoloop(2017) MOURA, Eduardo T.; MARTINS, Bruno; BASTOS, Victor R.; MEDEIROS, Vitor D.; KAWAGUTI, Fabio S.; PENNACCHI, Caterina; TAKEDA, Flavio R.; MALUF-FILHO, Fauze- Adverse events of self-expandable esophageal metallic stents in patients with long-term survival from advanced malignant disease(2017) MEDEIROS, Vitor Sousa; MARTINS, Bruno Costa; LENZ, Luciano; RIBEIRO, Maria Sylvia Ierardi; PAULO, Gustavo Andrade de; LIMA, Marcelo Simas; SAFATLE-RIBEIRO, Adriana Vaz; KAWAGUTI, Fabio Shiguehissa; PENNACCHI, Caterina; GEIGER, Sebastian N.; BASTOS, Victor R.; RIBEIRO-JUNIOR, Ulysses; SALLUM, Rubens A.; MALUF-FILHO, FauzeBackground and Aims: Self-expandable metallic stents are considered the best palliative treatment of dysphagia for patients with advanced esophageal cancer. Adverse events (AEs) are a major concern, especially in patients with better prognosis and longer survival. The present study aimed to evaluate the AEs of patients who survived longer than 6 months with esophageal stents in place. Methods: This is a retrospective analysis of a prospectively collected database including all patients submitted to esophageal stent placement for the palliation of malignant diseases during the period from February 2009 to February 2014 at a tertiary care academic center who had stents longer than 6 months. Results: Sixty-three patients were included. Mean follow-up was 10.7 months. Clinical success was achieved in all patients, and the median stent patency was 7.1 months. AEs occurred in 40 patients (63.5%), totaling 62 AEs (mean, 1.5 AEs per patient). Endoscopic management of AEs was successful in 84.5% of cases, with a mean of 1.6 reinterventions per patient. The univariate analysis revealed that performance status, age, and post-stent radiotherapy presented a trend to higher risk of AEs. The multivariate analysis revealed that only performance status was associated with AEs (P = .025; hazard ratio, 4.1). Conclusions: AEs are common in patients with long-term esophageal stenting for malignancy. However, AEs were not related to higher mortality rate, and most AEs could be successfully managed by endoscopy. Only performance status was a risk factor for AEs. Our data suggest that metallic stenting is a valid option for the treatment of malignant esophageal conditions, even when survival longer than 6 months is expected.
conferenceObject Esophagorespiratory Fistulas Related to the Placement of Self-Expanding Metallic Stents for the Treatment of Malignant Esophageal Disphagia(2016) BASTOS, Victor R.; SAFATLE-RIBEIRO, Adriana V.; MARTINS, Bruno da Costa; MEDEIROS, Vitor D.; LIMA, Marcelo S.; GUSMON, Carla C.; KAWAGUTI, Fabio S.; BABA, Elisa R.; PENNACCHI, Caterina; UEMURA, Ricardo S.; LENZ, Luciano P.; PAULO, Gustavo A. de; GEIGER, Sebastian N.; SORBELLO, Mauricio P.; PADUANI, Gabriela F.; RIBEIRO, Ulysses; MALUF-FILHO, Fauze