[Endoscopic palliative tube and laser therapy in advanced cancer of the esophagus and cardia].
The treatment of patients with advanced carcinomas of esophagus and gastric cardia endoscopic palliation should restore the passage for normal oral uptake. We compared the results of two methods: endoscopic neodym-YAG-laser-therapy (group I: 24 patients) and endoscopic perturbation (group II: 56 patients). An initial recanalisation was achieved after 1-4 sessions in group I and after 1-2 sessions in group II. Recurrence of dysphagia caused in median 5 endoscopic interventions in group I and 2 in group II. We observed no complications in group I and 5 complications in group II. The median survival times were not significantly different. The results and the follow-up show no definite superiority of one of the two methods, the selection of treatment modality depends on the technical possibilities and the personal experience of the physicians.
Klinik für Allgemein- und Abdominalchirurgie, Johann-Wolfgang-Goethe-Universität Frankfurt/Main.
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V
Paolucci
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T
Henne
A
A
Schmidt-Matthiesen
D002299:Cardia / Q000601:surgery*; D003680:Deglutition Disorders / Q000601:surgery; D004938:Esophageal Neoplasms / Q000601:surgery*; D004940:Esophageal Stenosis / Q000601:surgery*; D004945:Esophagoscopy / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D053685:Laser Therapy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D010166:Palliative Care / Q000379:methods*; D012008:Recurrence; D015607:Stents; D013274:Stomach Neoplasms / Q000601:surgery*
Endoskopisch-palliative Tubus- und Laser-Therapie bei fortgeschrittenem Carcinom von Oesophagus und Kardia.