Comparison of Endoscopic Nd: YAG Laser Therapy and Oesophageal Tube in Palliation of Oesophagogastric Malignancy
- 1 January 1991
- journal article
- research article
- Published by Taylor & Francis in Scandinavian Journal of Gastroenterology
- Vol. 26 (1) , 103-108
- https://doi.org/10.3109/00365529108996490
Abstract
The clinical results of 96 patients with upper gastrointestinal malignancy have been evaluated retrospectively. Sixty-nine patients with a mean age of 72 years (35 men and 34 women) were treated with endoscopic laser therapy, and 27 patients with a mean age of 67 years (16 men and 11 women) with insertion of an oesophageal tube. After laser therapy the bulk of the tumour was reduced in 87%, and in 55% clear signs of relieved dysphagia were seen. The insertion of an esophageal tube was successful in 89%. In the laser group no fatal complications occurred, and the overall complication risk was 8.7%. The 1-year survival in all laser patients was 12%, and in patients with impassable tumour stenosis the survival was 6%. The mortality related to the insertion of an oesophageal tube was 11%, and complications occurred in 48% of the patients. The 1-year survival of the tube group was nil. It is concluded that endoscopic laser therapy and insertion of oesophageal tube are both effective methods in palliation of oesophagogastric malignancy, but the mortality and risk for complications were markedly lower after laser therapy.Keywords
This publication has 15 references indexed in Scilit:
- Is Curative Endoscopic Treatment of Early Gastric Cancer Possible?Endoscopy, 1987
- Photoradiation therapy in early gastrointestinal cancerGastrointestinal Endoscopy, 1987
- Palliative Laser Treatment of Malignant Stenoses in the Upper Gastrointestinal TractEndoscopy, 1986
- Oesophageal intubation for advanced oesophageal cancer: The Baragwanath experience 1977–1981British Journal of Surgery, 1983
- Endoscopic Nd:YAG laser therapy for carcinoma of the esophagus: A new palliative approachThe American Journal of Surgery, 1982
- Malignant oesophageal strictures: A review of techniques for palliative intubationBritish Journal of Surgery, 1982
- Benign oesophageal strictures: Historical and technical aspects of dilatationBritish Journal of Surgery, 1981
- Principles of Surgical Treatment for Carcinoma of the EsophagusAnnals of Surgery, 1981
- The insertion of oesophagogastric tubes in malignant oesophageal strictures: Endoscopy or surgery?British Journal of Surgery, 1980
- The Treatment of Malignant Stricture of the OEsophagus by Tubage or Permanent CatheterismBMJ, 1887