Endoscopic insertion of 248 prostheses in inoperable carcinoma of the esophagus and cardia: short-term and long-term results.
We present our findings after 248 endoscopic intubations with the Nottingham introducer and more recently with the Dumon-Gilliard system for inoperable carcinoma of the esophagus and cardia. Mortality within the first week was 7.6% decreasing to 4.3% with the Dumon-Gilliard method. Survival after 3 months was 61.5%, after 6 months 32.3%, after 1 year 4.8%. The quality of swallowing was very good in 51.5% of the cases, while 36.7% of the patients suffered from dysphagia for semisolids and 10.1% for semiliquids. Obstruction occurred in 36 cases; proximal and distal dislocations were found in four cases each. In 20 patients with esophagorespiratory fistula we had an operative mortality of 15%, but 6-month survival was 35.7% and 1 year survival was 7.1%.
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002299:Cardia; D004750:Enteral Nutrition; D004938:Esophageal Neoplasms / Q000401:mortality / Q000628:therapy*; D004945:Esophagoscopy; D005773:Gastroscopy; D006801:Humans; D007440:Intubation; D008722:Methods; D008875:Middle Aged; D010166:Palliative Care; D019736:Prostheses and Implants; D013274:Stomach Neoplasms / Q000401:mortality / Q000628:therapy*