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[Esophageal prosthesis].

H Bermúdez Ruiz1

  • 1Departamento de Endoscopia del Hospital de Oncología C.M.N. Siglo XXI, México, D.F. México.

Revista De Gastroenterologia De Mexico
|March 9, 1999
PubMed
Summary
This summary is machine-generated.

Endoscopic procedures effectively resolve dysphagia in advanced esophageal cancer patients. This palliative treatment offers a low-cost, single-session solution, significantly improving patient quality of life with minimal complications.

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Area of Science:

  • Gastroenterology
  • Oncology
  • Interventional Endoscopy

Background:

  • Advanced esophageal cancer (AEC) presents significant palliative care challenges.
  • Current treatments like surgery, radiotherapy, and chemotherapy offer limited efficacy for symptom management.
  • Dysphagia is a primary concern, severely impacting the quality of life for AEC patients.

Purpose of the Study:

  • To evaluate the effectiveness and safety of endoscopic procedures (EP) for managing dysphagia in patients with advanced esophageal cancer.
  • To assess the impact of EP on patient quality of life.

Main Methods:

  • Retrospective analysis of 31 patients with AEC undergoing insertion of non-expandable polyvinyl endoscopic prostheses.
  • Data collected included patient demographics, tumor characteristics, procedure details, and complications.

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  • Dysphagia resolution and prosthesis-related complications were primary outcome measures.

    • Main Results:

    • Endoscopic procedures successfully resolved dysphagia in all 31 patients.
    • The majority of tumors (64.51%) were adenocarcinomas, located in the inferior third of the esophagus.
    • Complications included prosthesis migration (9.67%), perforation (6.45%), and obstruction by food (3.22%).

    Conclusions:

    • Endoscopic prosthesis insertion is a highly effective palliative treatment for dysphagia in advanced esophageal cancer.
    • EP offers advantages such as a single session, no hospitalization requirement, low cost, and good tolerability.
    • While complications can occur, EP significantly improves the quality of life for patients with advanced esophageal cancer.