Quality of Life After Laser Therapy in Patients with Inoperable Cancer of the Esophagus and Gastric Cardia
Many patients with carcinoma of the esophagus and gastric cardia, when first seen, are inoperable either because of advanced disease or extremely poor general condition. Then the only therapeutic goal in these patients is palliation of dysphagia, to improve their quality of life until death occurs from cachexia, metastatic disease, or cardio-respiratory insufficiency. Resolution of malignant dysphagia with recanalization of the esophagus and gastric cardia by endoscopic Nd:YAG (neodymium: yttrium-aluminum-garnet) laser photocoagulation was introduced in the early 1980s; since that time many patients have been successfully treated because the method has been accepted more and more in the last few years. In fact, laser therapy has some characteristics such as ease of performance, short or no hospitalization, low morbidity and practically no mortality, which are indispensable for a treatment that is only palliative and for patients with a life expectancy that is usually less than 6 months.
KeywordsLaser Treatment Laser Therapy Gastric Cardia Poor General Condition Anastomotic Recurrence
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