Carcinoma oesophagus: comparison of various treatment modalities

ABSTRACT

To compare various modalities of treatment in management of carcinoma oesophagus with particular stress on relief of dysphagia due to ca. Descriptive, retrospective study. Surgical department CMH Rawalpindi. From 1996 to 2000 [4 years]. The study subjects included 33 patients with histopathological diagnosis of carcinoma oesophagus [including criteria], 28 patients were operated upon [curative 18, palliative 10] with 17.5% operative mortality, 4 merited solely on chemo/radiation therapy [advance stage tumor], while 01 patent opted for chemo/radiation despite being favorable candidate for surgery. Of the 33 cases, 29 were operated out of which 11 were subjected to Ivor-lewis procedure, 15 were operated upon through transhiatal approach while in the remaining cases, palliative bypass procedures were done. Surgery [transthoracic + tans hiatal approach] proved to be the only reliable mode of treatment whether supplemented by adjuvan t therapy or not, Chemo/radiation as a sole mode of treatment had drastic results: