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Ann Thorac Surg 1980;29:551-554
© 1980 The Society of Thoracic Surgeons

Articles

Palliation for Esophageal Carcinoma

Steve G. Hubbard, M.D.*, Edward P. Todd, M.D. Ph.D., Marcus L. Dillon, M.D., Ward O. Griffen, M.D. Ph.D.

Division of Cardio-Thoracic Surgery, University of Kentucky Medical Center, Lexington, KY

* Address reprint requests to Dr. Todd, University of Kentucky Medical Center, MN 274, 800 Rose St, Lexington, KY 40536

Fifty-three patients with carcinoma of the esophagus treated since 1972 are reviewed. Eighteen unresectable patients with distant metastases or pulmonary insufficiency were treated with irradiation or with esophageal or gastrostomy tubes plus irradiation. There were 5 early deaths, and only 3 patients survived more than three months. Six patients underwent bypass. Three died in the hospital, and 1 lived three months. None completed a course of irradiation or gained weight.

The remaining 29 patients, who did not differ clinically from the bypass group, underwent resection for palliation or cure. There were 5 hospital deaths. Twenty patients lived more than three months and 7 of these more than one year. Two of them apparently were cured. These data indicate that the only effective means of increasing the duration of survival for esophageal carcinoma is resection with immediate reconstruction.




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 Ann. Thorac. Surg.Home page
J. R. Hankins, F. N. Cole, S. Attar, and J. S. McLaughlin
Carcinoma of the Esophagus: Twelve Years' Experience with a Philosophy for Palliation
Ann. Thorac. Surg., May 1, 1982; 33(5): 464 - 472.
[Abstract] [PDF]


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