Heit H A, Johnson L F, Siegel S R, Boyce H W
Ann Intern Med. 1978 Nov;89(5 Pt 1):629-31. doi: 10.7326/0003-4819-89-5-629.
We retrospectively reviewed our experience with palliative dilation for dysphagia in esophageal carcinoma. During a 3-year period 26 patients with squamous-cell carcinoma of the esophagus underwent peroral esophageal dilation for relief of dysphagia. Twenty-four were able to resume a soft or regular diet after dilation. This improvement was accomplished with low morbidity and no mortality. Dilations were done without additional risk in patients with malignant tracheoesophageal fistulae and in patients undergoing radiation therapy. We conclude that esophageal dilation can be done safely and effectively in patients with squamous-cell carcinoma of the esophagus. Palliative dilation can significantly improve the quality of life for these patients and should be considered an important part of their management plan.
我们回顾性地分析了我们对食管癌吞咽困难患者进行姑息性扩张治疗的经验。在3年期间，26例食管鳞状细胞癌患者接受了经口食管扩张术以缓解吞咽困难。24例患者在扩张术后能够恢复软食或正常饮食。这种改善是以低发病率和无死亡率实现的。对于伴有恶性气管食管瘘的患者以及接受放射治疗的患者，扩张术的实施并无额外风险。我们得出结论，食管扩张术对于食管鳞状细胞癌患者可以安全有效地进行。姑息性扩张能够显著改善这些患者的生活质量，应被视为其治疗方案的重要组成部分。
