Abstract
A 92-year-old man with dysphagia secondary to squamous cell carcinoma of the esophagus was palliated repeatedly with endoscopic laser therapy and insertion of esophageal stents. During the treatment period of 32 months, the patient could be fed perorally while ingrowth of tumor, development of new stenoses at the edges of the stents, and breakage of one stent were encountered. A tracheoesophageal fistula developed at the upper edge of the first stent. The patient died from aspiration pneumonia. At autopsy, no cancer cells were found in the esophagus. Combined endoscopic laser treatment and stent therapy may keep a patient free from dysphagia during a long period of time and also may result in the complete disappearance of tumor growth in the esophagus.
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Müller JM, Erasmie H, Stelzner M, Zieren U, Pichlmaier H (1990) Surgical therapy of oesophageal carcinoma. Br J Surg 77:845–857
Santhi-Swaroop V, Desai PB (1989) Palliative management of esophageal cancer. Sem Surg Oncol 5:373–375
Bethge N, Knyrim K, Wagner HJ, Starck E, Pausch J, Kleist DV (1992) Self-expanding metal stents for palliation of malignant esophageal obstruction—A pilot study of eight patients. Endoscopy 24:411–415
Cwikiel W, Stridbeck H, Tranberg KG, vonHolstein CS, Hambraeus G, Lillo-Gil R, Willen R (1993) Malignant esophageal strictures: Treatment with self-expanding nitinol stent. Radiology 187:661–665
Cwikiel W (1995) Esophageal stenting. In: Cope C (ed) Current techniques in interventional radiology. Current Medicine, Philadelphia, (in press)
Do YS, Song HY, Lee BH, Byun HS, Kirn KH, Chin SY, Park JH (1993) Esophagorespiratory fistula by esophageal cancer: Palliation with a modified Gianturco stent tube. Radiology 187:673–677
Knyrim K, Wagner HJ, Bethge N, Keymling M, Valil N (1993) A controlled trial of an expansile metal stent for palliation of esophageal obstruction due to inoperable cancer. N Engl J Med 329:1302–1307
Kozarek RA, Ball TJ, Pattersson DJ (1992) Metallic self-expanding stent application in the upper gastrointestinal tract: Caveats and concerns. Gastrointest Endosc 38:1–6
Lindberg CG, Cwikiel W, Ivancev K, Lundstedt C, Stridbeck H, Tranberg KG (1991) Laser therapy and insertion of Wallstents for palliative treatment of esophageal carcinoma. Acta Radiol 32:345–348
Neuhaus H, Hoffman W, Dittler HJ, Niedermeyer HP, Classen M (1992) Implantation of self-expanding esophageal metal stents for palliation of malignant dysphagia. Endoscopy 24:405–410
Schaer J, Katon RM, Ivancev K, Uchida B, Rosch J, Binmoeller K (1992) Treatment of malignant esophageal obstruction with silicone-coated metallic self-expanding stents. Gastrointest Endosc 38:7–11
Song H-Y, Choi K-C, Kwon H-C, Yang D-H, Cho B-H, Lee S-T (1992) Esophageal strictures: Treatment with a new design of modified Gianturco stent. Radiology 184:729–734
Tranberg K-G, von Holstein CS, Ivancev K, Cwikiel W, Lunderquist A (1995) YAG laser and Wallstent endoprosthesis for palliation of cancer in the esophagus or gastric cardia. Hepatogastroenterology (in press)
Ell C, Demling L (1987) Laser therapy of tumor stenoses in the upper gastrointestinal tract: An international inquiry. Lasers Surg Med 7:491–494
Murray FE, Bowers GJ, Birkett DH, Cave DR (1988) Palliative laser therapy of advanced esophageal carcinoma. An alternative perspective. Am J Gastroenterol 83:816–819
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Cwikiel, W., Tranberg, KG. & Willeń, R. Disappearance of esophageal carcinoma after stenting combined with endoscopic laser therapy. Cardiovasc Intervent Radiol 18, 247–250 (1995). https://doi.org/10.1007/BF00239421
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DOI: https://doi.org/10.1007/BF00239421