Palliative treatment of esophageal cancer: Self-expanding metal stents versus Postlethwait technique

BACKGROUND/AIMS: The development of new techniques for palliation of esopha geal carcinoma with lower morbidity and mortality than surgical procedures. METHODOLOGY: Between 1981 and 1994, 258 patients with esophageal and cardia c cancer were treated in our Department. We selected two groups: Group A, 2 5 patients underwent a by-pass with an isoperistaltic gastric tubular (Post lethwait technique) and, group B, in 30 patients we placed 35 autoexpandabl e esophageal stents. We subsequently performed a retrospective study. RESULTS: In group A, dysphagia was not relieved in 6 patients (24%) and we found no complications in 18 patients (72%). The hospitalization period ran ged from 18-50 days. Hospital mortality rate was 24% (6 patients). Mean sur vival was 5.4 months (range: 3-9 months). All patients in group B, except f or 2, were relieved of dysphagia. Two patients (6.6%) died in the immediate post-intubation period though none of the deaths were related to technical complications. Hospitalization period ranged from 5-12 days. Mean survival was 6 months (range: 12 days to 9 months). CONCLUSIONS: Currently, surgical by-pass procedures are restricted to the p atient with an incurable disease not identified until operation time.