For palliative endoscopic treatment of malignant dysphagia many differ
ent techniques are practiced. The differentiated usage of all techniqu
es depending on the characteristics of the tumor leads to a good resul
t with favorable costs. The following differentiated palliative regime
n is presented: in the cervical part of the esophagus laser therapy or
stent implantation are used, depending on the type of tumor growth. I
n the center section and the distal part of the esophagus usually pall
iative endoscopic pertubation is performed. If the stenosis is very so
ft and shea a stent is implanted as alternative. In the gastroesophage
al part flexible stents achieve the best results. Alternative laser th
erapy can be used.