[Prosthetic treatment in inoperable cancers of the oesophagus and cardia: a report of 7 cases].
The Authors report their personal experience with 9 patients affected by cardial cancer and 4 with medio-distal oesophageal cancer, treated at the Department of Surgical Sciences of the University of Foggia. Of the 9 patients with cardial cancers, 4 were submitted to total gastrectomy; while the other 5, who had clearly inoperable forms, were fitted with a self-expanding metal prosthesis (Ultraflex). Of the 4 cases with medio-distal oesophageal cancers, which were considered beyond any kind of surgical treatment, 2 (with stenosing forms) were fitted with the self-expanding prosthesis (Ultraflex), while the other 2 (with friable, bleeding tissue) were treated by laser therapy with all the drawbacks such treatment entails. After application of stents, dysphagia decreases and on the whole we obtain real functional success and a better quality of life. Furthermore, the percentage of acute complications such as profuse bleeding, perforation of the pharynx or migration of the prosthesis and late complications such as obstruction by food, neoplastic obstruction, or haemorrhage is marginal. Finally, the ease of application and the economic saving achieved (due to reduction in hospitalisation time and charges) confer undeniable additional advantages on the procedure.
Giordano
Giuseppe
G
Cattedra di Chirurgia Generale (indirizzo oncologico), Università degli Studi di Foggia, Scuola di Specializzazione in Chirurgia dell'Apparato digerente ed Endoscopia digestiva.
Rendine
Roberto
R
Stoppino
Vincenzo
V
Germano
Mario Pio
MP
Bax
Maria Maddalena
MM
Milillo
Paola
P
Fruscio
Lorenzo
L
Fabrizio
Michele
M
Ricco
Anna Maria
AM
D002277:Carcinoma / Q000601:surgery*; D002299:Cardia; D004938:Esophageal Neoplasms / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010166:Palliative Care; D019736:Prostheses and Implants; D011788:Quality of Life; D012189:Retrospective Studies; D015607:Stents; D013274:Stomach Neoplasms / Q000601:surgery*; D016896:Treatment Outcome