title: Out-patient palliative therapy for advanced cancer of the oesophagus.
abstract: OBJECTIVE
  To establish an economical, safe and effective palliative mode of treatment in cases of advanced cancer of the oesophagus.
  
  
  METHODS
  A retrospective study on patients with carcinoma of the oesophagus treated with endoscopic pulsion intubation.
  
  
  METHODS
  Out-patient treatment at the author's surgery at the Hurlingham Medicare Plaza, Nairobi.
  
  
  METHODS
  Seventy three patients with a histologically confirmed diagnosis of carcinoma of oesophagus.
  
  
  METHODS
  Endoscopic pulsion intubation with endoprosthesis placement to relieve dysphagia.
  
  
  RESULTS
  Marked improvement in dysphagia by at least two grades within six hours of intubation. No major complication or procedure associated mortality.
  
  
  CONCLUSIONS
  Endoscopic pulsion intubation is safe, economical and very effective palliative mode of treatment in advanced cases of cancer of the oesophagus.
authors.affiliation: Department of Surgery, College of Health Sciences, University of Nairobi, P.O. Box 45640, Nairobi.
authors.forename: P G
authors.initials: PG
authors.lastname: Jani
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000553:Ambulatory Care / Q000191:economics / Q000379:methods*; D004938:Esophageal Neoplasms / Q000191:economics / Q000628:therapy*; D005260:Female; D006801:Humans; D007440:Intubation / Q000009:adverse effects / Q000191:economics / Q000379:methods*; D008297:Male; D008875:Middle Aged; D010166:Palliative Care / Q000191:economics / Q000379:methods*; D012189:Retrospective Studies; D012720:Severity of Illness Index