Laughlin E H
Ala Med. 1989 Dec;59(6):11-2.
Palliation for those with advanced cancer of the esophagus ideally should relieve dysphagia, stop aspiration, and sustain nutrition and hydration. Esophageal intubation with a Celestin prosthesis combined with Janeway gastrotomy is an excellent method for relieving the symptoms of advanced malignancy of the middle and lower thirds of the esophagus. Because intubation and gastrostomy do not require elaborate surgical facilities they can be performed in the community hospital. Although we have carried out the procedure in a small number of patients, palliation achieved has been such that we advocate intubation and gastrostomy as a quick and uncomplicated way to alleviate the symptoms of esophageal cancer patients with late-stage disease.
对于晚期食管癌患者，理想的姑息治疗应缓解吞咽困难、防止误吸，并维持营养和水分摄入。使用塞莱斯廷假体进行食管插管并联合詹韦胃造口术是缓解食管中下段晚期恶性肿瘤症状的一种极佳方法。由于插管和胃造口术不需要复杂的手术设备，因此可以在社区医院进行。尽管我们仅对少数患者实施了该手术，但所取得的姑息治疗效果使我们提倡将插管和胃造口术作为一种快速且简单的方法，用以缓解晚期食管癌患者的症状。
