Oesophageal dilatation as palliation for irresectable carcinoma oesophagus

ABSTRACT

The primary therapeutic goals in patients with advanced oesophageal malignancy are the re-introduction of an enteral diet and early discharge. The endoscopic dilation has been proposed as an alternative technique for palliation in patients not suitable for surgery. To review our experience with oesophageal dilation for the palliation of malignant oesphageal obstruction. A retrospective review was conducted of the notes of all patients who underwent palliative oesophageal dilation in our unit. 100 patients [age range 30-90years] underwent oesophageal dilation for malignant oesophageal obstruction 48% of patients had obstruction at lower one third of esophagus. Median survival was 6 weeks [range 1week to 03 months]. Successful dilation was possible in 70% of cases. During follow up 20% returned to solid diet, 50% required a soft diet and 30% were unable to tolerate any enteral nutrition. The use of oesophageal dilation achieves, good palliation allowing earl y discharge from hospital, re-introduction of an enteral diet