Reed C E
Division of Cardiothoracic Surgery, Medical University of South Carolina, Charleston 29425, USA.
World J Surg. 1995 Nov-Dec;19(6):828-35. doi: 10.1007/BF00299779.
Many patient with esophageal cancer have advanced disease that in not amenable to curative treatment. For these individuals the relief of dysphagia is of utmost importance to the quality of their remaining survival time. This article reviews and compares the methods of palliation with focus on indications and contraindications, advantages as well as disadvantages of each technique, success rates, and complications. Tumor characteristics, the physician's experience, the institution's capabilities, cost, and patient preference will influence choice of palliation. Methods are often complementary rather than competitive.
许多食管癌患者病情已发展到晚期,无法进行根治性治疗。对于这些患者而言,缓解吞咽困难对于提高其剩余生存期的生活质量至关重要。本文回顾并比较了姑息治疗方法,重点关注每种技术的适应证和禁忌证、优缺点、成功率及并发症。肿瘤特征、医生经验、机构能力、成本及患者偏好都会影响姑息治疗方法的选择。这些方法通常相互补充而非相互竞争。