Experiences with endoscopic placed endoprosthesis in stenosing malignancies of the esophagus and cardia

Barbier, P.; Kappeler, M.; Teuscher, J.; Scheurer, U.

Der Chirurg; Zeitschrift für Alle Gebiete der Operativen Medizen 55(9): 593-599

1984


ISSN/ISBN: 0009-4722
PMID: 6209073
Document Number: 238091
Seventy-five patients with obstructing esophagogastric malignancies were palliatively treated by fiberendoscopic insertion of prosthetic tubes. The indications for endoscopic intubation are discussed, the procedure is described. The mortality rate was 6.6%. Complications were obstructions due to food impaction (10), tumor overgrowth (5) or mucosa folds (3), reflux and aspiration (7), dislocation of the prosthesis (5), perforation (1) and desintegration of the tube (1). Normal swallowing was restored in 98% and in general, there was a marked improvement in the quality of life. In summary, we conclude palliative fiberendoscopic intubation as the best existing procedure in patients with an incurable obstructing esophagogastric neoplasm.

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