Kasr el-Aini tube in stricture esophagus malignant

ABSTRACT

38 cases of malignant stricture of oesopagus were studied, out of whom 25 had squamous cell carcinoma. Their age ranged between 50-82 years. They all presented with distressing dysphagia. 3 had bronchooesophageal fistula following radiotherapy. They were intubated using a locally manufactured [Kasr El Aini] tube, put by traction method via abdominal incision and a gastrostomy. 11 were done under local anaesthesia and the rest under careful general anaesthesia. No operative mortalities were met with. The post-intubation result was very satisfactory with cure of their dysphagia in all and a 7.8% survival for more than 10 months. Combined bleomycin [chemotherapy] and radical 6.000 reds [radiotherapy] was employed in 10 cases of squamous cell cancer. 5-fluoro-uracil and vincristine or vinblastines were administered in 7 cases with adenocarcioma. It is concluded that palliative intubation with chemo and or radiotherapy is the best line for managing a carcinoma of the oesophagus