Open AccessRadiographic appearance of the esophagus and stomach after laser treatment of obstructing carcinoma
Author(s) -
Wolf El,
Joseph D. Frager,
LJ Brandt,
DH Frager,
Bernstein Lh,
Beneventano Tc
Publication year - 1986
Publication title -
american journal of roentgenology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.294
H-Index - 196
eISSN - 1546-3141
pISSN - 0361-803X
DOI - 10.2214/ajr.146.3.519
Subject(s) - medicine , pneumopericardium , esophagus , perforation , surgery , radiography , dysphagia , pneumoperitoneum , carcinoma , complication , leak , stomach , fistula , tracheoesophageal fistula , radiation therapy , laser therapy , radiology , laparoscopy , laser , gastroenterology , punching , materials science , physics , optics , environmental engineering , engineering , metallurgy
Nd:YAG laser therapy is an attractive palliative treatment for carcinoma of the esophagus and gastric cardia. Twenty-five patients with these tumors underwent laser therapy over a 2-year period, receiving a total of 52 courses of therapy with 189 treatments. Treatments per course averaged 3.6, with a mean of two courses per patient. Luminal diameter is increased with this method; symptomatic improvement in dysphagia occurred in all patients after one course of therapy. Radiographic improvement also is seen. The complication rate in this series was four (2.1%) of 189 procedures, consisting of one perforation, one tracheoesophageal fistula, one pneumopericardium, and one pneumoperitoneum without leak.
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