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  1. Endoscopic palliation of inoperable Cancer of the oesophagus or cardia by argon electrocoagulation.

    Article - En anglais

    Background 

    Cancer of the oesophagus and the cardia tends to present late.

    Palliation of dysphagia is the prospect of most of the patients.

    This paper reports the use of argon electrocoagulation in 83 patients with inoperable cancer strictures in the oesophagus and cardia.

    Methods 

    The argon electrocoagulation was done by a fibre conducting electricity and argon air to the site of coagulation.

    After treatment the patients were allowed to take fluids and normal food the same evening or the next morning.

    After recanalization the patients were treated regularly every 34 weeks.

    Results 

    Recanalization enabling passage for normal food was achieved with I treatment in 48 patients (58%), whereas 22 (26%) needed more than I treatment.

    In 13 patients (16%) the ability to eat normal food was not achieved.

    In these patients dysphagia improved at least one grade.

    Perforation was seen in seven patients (8%) and in 1% of treatments.

    Perforations were successfully treated conservatively in six of the seven patients.

    Sixty-three patients (76%) died during the investigation period, on average 146 days (range, 43-397 days) after diagnosis.

    Conclusion 

    Argon electrocoagulation offers an easy, cheap, and safe alternative to treatment with laser photocoagulation and expandable metal stents.

    Mots-clés Pascal : Carcinome, Oesophage, Cardia, Inopérable, Traitement palliatif, Electrocoagulation, Argon, Indication, Coût, Efficacité traitement, Homme, Tumeur maligne, Appareil digestif pathologie, Oesophage pathologie, Traitement instrumental, Economie santé

    Mots-clés Pascal anglais : Carcinoma, Esophagus, Cardia, Unresectable, Palliative treatment, Electrocoagulation, Argon, Indication, Costs, Treatment efficiency, Human, Malignant tumor, Digestive diseases, Esophageal disease, Instrumentation therapy, Health economy

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0114455

    Code Inist : 002B26F. Création : 22/06/1998.