Palliative Treatment of Obstructing Esophagogastric Malignancy by Endoscopic Positioning of a Plastic Prosthesis

摘要: Two hundred patients with obstructing esophagogastric malignancy were treated positioning of a plastic prosthesis. With the aid small caliber fiberendoscope and pusher tube, prosthesis was positioned under continuous visual control, using only local anesthesia. Seventy-seven had esophageal carcinoma, 25 pulmonary carcinoma esophagus; 98 gastric carcinoma. Of latter, 21 extensive stomach involvement 8 tumor recurrence after esophagojejunostomy. A bronchoesophageal fistula present in 17 patients. Complications bleeding (3), perforation (16) one death, obstruction either due to food impaction (13), overgrowth (17), or re flux esophagitis (5); latter two conditions corrected by changing tube all cases. Tube migration occurred frequently, but could be prevented adapting shape The procedure performed as ultimate palliation unfit for surgical insertion low mortality rate 2%. In general, there marked improvement quality life.