Dei Poli M, Seglie E, Casalegno P A
Minerva Chir. 1979;34(1-2):27-32.
Malignant tumours of the oesophagus cannot always be handled radically; in personal clinical experience, only a third of patients suffering from oesophageal carcinoma have been subjected to radical oesophagectomy. The purpose of palliative treatment is to suppress dysphagia and restore possibly natural, adequate feeding. As for techniques, intraluminal catheterization by the combined endoscopic and gastrotomic route has been personally preferred to surgical bypass and gastrostomy whose palliative value should be confined to cases in which no other technique can be used. Good results have been obtained with catheterization and patients have been able to feed themselves naturally without noting the ineluctability of their disease.
食管癌并不总是能够进行根治性治疗；根据个人临床经验，只有三分之一的食管癌患者接受了根治性食管切除术。姑息治疗的目的是缓解吞咽困难，并尽可能恢复自然、充足的进食。至于技术方面，本人更倾向于通过内镜和胃切开联合途径进行腔内插管，而不是手术旁路和胃造口术，后者的姑息价值应仅限于无法采用其他技术的病例。插管治疗取得了良好效果，患者能够自然进食，而没有意识到自己病情的不可避免性。
