[Endoscopic possibilities in the palliative treatment of cardial gastroesophageal cancer].
Endoscopic surgery including chemical necrolysis, diathermy coagulation and excision, and argon-plasma was conducted in the course of two-stage palliative treatment of 31 patients with gastroesophageal cancer. A total of 273 procedures of tumor destruction were administered. Stenosis was either eliminated or significantly reduced in 28 (90.2%) on completion of stage I. Average stabilization duration was 44 days. During stage II, periodic destruction of tumor foci continued so that peroral feeding could be maintained for another 3 years. Mean survival was 8.7 months (one year--35%, two--20%, three--7.7%). Since no life-threatening complications were reported, our method may be recommended for out-patient hospital applications.
Shcherbakov
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D000368:Aged; D002299:Cardia / Q000473:pathology / Q000601:surgery; D004750:Enteral Nutrition; D004938:Esophageal Neoplasms / Q000601:surgery*; D004945:Esophagoscopy; D005260:Female; D005773:Gastroscopy; D006801:Humans; D008297:Male; D008875:Middle Aged; D010166:Palliative Care / Q000379:methods*; D013274:Stomach Neoplasms / Q000601:surgery*; D016019:Survival Analysis; D016896:Treatment Outcome