Palliative intubation for dysphagia in patients with carcinoma of the esophagus

Liakakos, Theodore; Ohri, Sunil K.; Townsend, Edward R.; Fountain, S. W.

doi:10.1016/0003-4975(92)90269-a

Cited by 25 publications

(4 citation statements)

References 21 publications

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“…No patient experienced stent obstruction including impaction of the stent with food or compression of the lumen by external tumor growth. This is in contrast to the experience of other groups who have used other types of stents with an incidence of obstruction ranging from 9% up to 30% [9][10][11]. In addition, we have noted a very low incidence of failure to exclude a fistula, which others have reported to be as high as 26.5% [8], and a low incidence of perforation, which others have reported to be as high as 10.5% using an Atkinson tube with a technique of pulsion intubation [9].…”

Section: Discussioncontrasting

confidence: 51%

Experiences with the Montgomery Salivary Bypass Tube (MSBT)

et al. 1997

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Patients with hypopharyngeal and cervical esophageal strictures and fistulas caused by advanced malignancy, ingestion of caustic material, or following surgery or radiation therapy often suffer from marked dysphagia. In such cases the implantation of a Montgomery Salivary Bypass Tube (MSBT) can be an effective therapeutic option to bridge the fistulous tract or bypass a stenosis. Being able to eat and drink without the need for intravenous supplementation or nasogastric or gastrostomy tube feeding in general greatly improves the patient's quality of life. Since 1981 we have successfully inserted the MSBT in 44 cases suffering from dysphagia of different etiology. Our experiences with the indications for implantation, insertion techniques, and postoperative results are presented. Three selected cases of progressive dysphagia in which the MSBT is demonstrated to be the treatment of choice are described in more detail. In one case, a tracheoesophageal fistula and in another a stricture of the upper esophageal sphincter (UES) were bypassed so that oral intake of soft food became possible again. The third patient suffered from a disturbance of the esophageal motility after resection of a Hippel-Lindau tumor in the spinal cord and syringe drainage; even swallowing saliva was impeded. After insertion of a MSBT, uncomplicated soft food intake became possible again.

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Section: Discussioncontrasting

confidence: 51%

Experiences with the Montgomery Salivary Bypass Tube (MSBT)

et al. 1997

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“…Stenting is one of the oldest techniques for palliation of esophageal carcinoma with the advantage of rapid relief from dysphagia, but it acts merely mechanically by pushing aside the tumor mass. Furthermore, problems such as penetration into the mediastinum and neighboring organs, tumor regrowth at the borders of the stent, and dislocation are common [14,15]. In a randomly assigned trial comparing PDT vs. Nd-YAG laser therapy, Heier et al [16] found that there were minor differences in efficiency between PDT and Nd-YAG laser treatment.…”

Section: Discussionmentioning

confidence: 97%

Effect of photodynamic therapy in a multimodal approach for advanced carcinoma of the gastro-esophageal junction

et al. 2000

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“…Obstruction can occur from tumor overgrowth, food impaction, and angulation of the stricture causing the distal opening to impinge upon the esophageal or gastric wall. If late complications are considered, the morbidity rate of esophageal intubation may range from 22%-60% [35,38,[39][40][41]. In a review of several series, hospital mortality averaged 8% [31].…”

Section: Intubation--plastic Prosthesismentioning

confidence: 99%

Comparison of different treatments for unresectable esophageal cancer

Reed

1995

World j. surg.

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Many patient with esophageal cancer have advanced disease that in not amenable to curative treatment. For these individuals the relief of dysphagia is of utmost importance to the quality of their remaining survival time. This article reviews and compares the methods of palliation with focus on indications and contraindications, advantages as well as disadvantages of each technique, success rates, and complications. Tumor characteristics, the physician's experience, the institution's capabilities, cost, and patient preference will influence choice of palliation. Methods are often complementary rather than competitive.

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Palliative intubation for dysphagia in patients with carcinoma of the esophagus

Cited by 25 publications

References 21 publications

Experiences with the Montgomery Salivary Bypass Tube (MSBT)

Experiences with the Montgomery Salivary Bypass Tube (MSBT)

Effect of photodynamic therapy in a multimodal approach for advanced carcinoma of the gastro-esophageal junction

Comparison of different treatments for unresectable esophageal cancer

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