Document Detail


Endoscopic Nd-YAG laser therapy as palliative treatment for esophageal and cardial cancer.
MedLine Citation:
PMID:  8751226     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND/AIM: Progressive dysphagia is the most important symptom in inoperable cases of carcinoma of the esophagus and cardia. Treatment for the relief of dysphagia is chosen based on the lowest mortality and morbidity. This paper describes alpha consecutive series of patients with esophageal or cardial cancer, without a documented tracheoesophageal fistula, who were referred for palliative laser therapy. Alternative palliative treatments are discussed, as well as factors involved in successful laser treatment. MATERIAL AND METHODS: Over a five year period, 104 patients were treated endoscopically with the Nd-YAG laser for symptomatic improvement dysphagia caused by malignant tumors of the esophagus or cardia. RESULTS: After the initial laser therapy, good improvement was achieved in 78 patients (75%) and fair improvement in 17 patients (16%). Eighty-three patients with significant improvement were followed until death. In 42 of these 83 patients, the initial laser therapy was the only treatment given; the remaining 41 patients required either additional laser treatment or other palliative therapy. CONCLUSION: Laser treatment for palliation in esophageal and cardial cancer is promising. Given the proper circumstances, it may lay the framework for many other important treatment modalities.
Authors:
D Freitas; H Gouveia; C Sofia; J P Cabral; A Donato
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Hepato-gastroenterology     Volume:  42     ISSN:  0172-6390     ISO Abbreviation:  Hepatogastroenterology     Publication Date:    1995 Sep-Oct
Date Detail:
Created Date:  1996-12-04     Completed Date:  1996-12-04     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8007849     Medline TA:  Hepatogastroenterology     Country:  GREECE    
Other Details:
Languages:  eng     Pagination:  633-7     Citation Subset:  IM    
Affiliation:
Department of Gastroenterology, University Hospital of Coimbra, Portugal.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Deglutition Disorders / etiology,  surgery*
Endoscopy / methods*
Esophageal Neoplasms / complications,  mortality,  surgery*
Female
Follow-Up Studies
Humans
Laser Therapy / instrumentation*
Male
Middle Aged
Palliative Care / methods*
Postoperative Complications
Retrospective Studies
Stomach Neoplasms / complications,  mortality,  surgery*
Survival Rate
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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