Palliative therapy of malignant esophageal stricture with the bipolar tumor probe and prosthetic tube.

Gastrointestinal Endoscopy
A S McIntyreM Atkinson

Abstract

Patients with malignant esophageal stricture and dysphagia were prospectively randomized to receive palliative therapy with the bipolar tumor probe (17) or prosthetic tube insertion (13). Both treatments gave good relief of dysphagia compared with pretreatment values on a dysphagia score, the results being statistically significant (p less than 0.005). However, there was no difference in the improvement achieved by one method compared with the other. The tumor probe was not difficult to use and complication rates were comparable. In the Atkinson tube group, two patients developed complications related to the position of the prosthesis and in three others food blocked the tube. Treatment with the tumor probe needed repeating at intervals (median, 28 days; range, 2 to 86 days) in all but four individuals to maintain palliation, with each patient needing a median of two treatments (range, 1 to 8). The probe may have advantages in very high esophageal lesions and may facilitate the treatment of tumor overgrowth or undergrowth of a tube. The prosthetic tube may give long-lasting relief of dysphagia and remains the treatment of choice for bronchopulmonary fistulas.

References

Jul 1, 1987·Gut·N KrasnerA I Morris
Dec 1, 1985·The British Journal of Surgery·D L MorrisJ D Hardcastle

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Citations

Sep 1, 1990·Journal of Surgical Oncology·J C HarveyW Davidson
Feb 1, 1991·Journal of Surgical Oncology·J C HarveyE H Fleischman
Nov 1, 1995·World Journal of Surgery·C E Reed
Sep 1, 1994·Gastrointestinal Endoscopy·I RaijmanN E Marcon
Mar 27, 1998·Scandinavian Journal of Gastroenterology. Supplement·P D SiersemaM van Blankenstein
Jan 1, 1990·Scandinavian Journal of Gastroenterology. Supplement·R Lambert

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