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2016 ; 9
(ä): 11-23
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Palliation of Dysphagia in Carcinoma Esophagus
#MMPMID27279758
Ramakrishnaiah VP
; Malage S
; Sreenath GS
; Kotlapati S
; Cyriac S
Clin Med Insights Gastroenterol
2016[]; 9
(ä): 11-23
PMID27279758
show ga
Esophageal carcinoma has a special place in gastrointestinal carcinomas because
it contains two main types, namely, squamous cell carcinoma and adenocarcinoma.
Carcinoma esophagus patients require some form of palliation because of locally
advanced stage or distant metastasis, where it cannot be subjected to curable
treatment with surgery and chemoradiation. Many modalities of palliation of
dysphagia are available, but the procedure with least morbidity, mortality, and
long-term palliation of dysphagia needs to be chosen for the patient. This study
aims to discuss the recent trends in palliation of dysphagia with promising
results and the most suitable therapy for palliation of dysphagia in a given
patient. A total of 64 articles that were published between years 2005 and 2015
on various modes of palliation of dysphagia in carcinoma esophagus were studied,
which were mainly randomized and prospective studies. Through this study, we
conclude that stents are the first choice of therapy for palliation, which is
safe and cost-effective, and they can be combined with either radiotherapy or
chemotherapy for long-term palliation of dysphagia with good quality of life.
Radiotherapy can be used as a second-line treatment modality.