Unresectable Esophageal Cancer

This can be a terrible problem since it is a lethal condition in which the patients typically die miserably, aspirating on their own secretions unless some intervention is done. There are several treatment options available. One is opening a lumen through the tumor. This can be done with either esophageal stents (i.e. esophageal intubation) or by laser obliteration of the tumor stenosing the esophagus. Another is a bypass procedure in which the stomach is passed substernally into more proximal esophagus to bypass the tumor. This frequently results in major complications, usually because of the preoperative morbid status of the patients. In patients with obstructive esophageal neoplasms, palliation of the esophagus is the primary treatment goal. Radiation may also be effective in relieving the esophageal stenosis to some extent.

Each modality has its advantages and disadvantages. Advantages of esophageal intubation include that it can be done either under local or general anesthesia. There are a wide variety of diameters and lengths of esophageal tubes which can be tailored to fit the patient's needs. These disadvantages include perforation, slippage of the tube, and reflux of gastric contents with aspiration (this is particularly true if the tube passes across the gastroesophageal junction).

The typical patients who require intubation of the esophagus or laser obliteration of esophageal carcinoma are those with medical contraindications to resection, those who have local invasion of major mediastinal structures preventing resection, those with malignant tracheal esophageal fistulas, or those who are treated primarily with radiation therapy and then have recurrent esophageal obstruction. These are all, in general, contraindications to resection.

Herbal Remedies For Acid Reflux

Herbal Remedies For Acid Reflux

Gastroesophageal reflux disease is the medical term for what we know as acid reflux. Acid reflux occurs when the stomach releases its liquid back into the esophagus, causing inflammation and damage to the esophageal lining. The regurgitated acid most often consists of a few compoundsbr acid, bile, and pepsin.

Get My Free Ebook

Post a comment