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Out-patient palliative therapy for advanced cancer of the oesophagus
1Department of Surgery, College of Health Sciences, University of Nairobi, P.O. Box 45640, Nairobi.
Objective:
To establish an economical, safe and effective palliative mode of treatment in cases of advanced cancer of the oesophagus.
Design:
A retrospective study on patients with carcinoma of the oesophagus treated with endoscopic pulsion intubation.
Setting:
Out-patient treatment at the author's surgery at the Hurlingham Medicare Plaza, Nairobi.
Subjects:
Seventy three patients with a histologically confirmed diagnosis of carcinoma of oesophagus.
Intervention:
Endoscopic pulsion intubation with endoprosthesis placement to relieve dysphagia.
Results:
Marked improvement in dysphagia by at least two grades within six hours of intubation. No major complication or procedure associated mortality.
Conclusion:
Endoscopic pulsion intubation is safe, economical and very effective palliative mode of treatment in advanced cases of cancer of the oesophagus.
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