Viqar Aslam

Esophageal dilatation as palliation for irresectable carcinoma esophagus

Background: 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. Aim: To review our experience with oesophageal dilation for the palliation of malignant oesphageal obstruction. Methodology: A retrospective review was conducted of the notes of all patients who underwent palliative oesophageal dilation in our unit. Result: 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. Conclusion: The use of oesophageal dilation achieves, good palliation allowing earl y discharge from hospital, re-introduction of an enteral diet.