Tumour Debulking for Esophageal Cancer - Thermal Modalities
Esophageal cancer usually is discovered at a late stage and curative therapy seldom is possible. The prognosis is poor and most therapy is palliative. Endoscopic therapy commonly is employed; two common treatments involve thermal modalities. The Nd:YAG laser has been employed for 10 years and is eff...
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| Format: | Article |
| Language: | English |
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Wiley
1992-01-01
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| Series: | Canadian Journal of Gastroenterology |
| Online Access: | http://dx.doi.org/10.1155/1992/396424 |
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| _version_ | 1832556113830084608 |
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| author | David Fleischer |
| author_facet | David Fleischer |
| author_sort | David Fleischer |
| collection | DOAJ |
| description | Esophageal cancer usually is discovered at a late stage and curative therapy seldom is possible. The prognosis is poor and most therapy is palliative. Endoscopic therapy commonly is employed; two common treatments involve thermal modalities. The Nd:YAG laser has been employed for 10 years and is effective in relieving obstruction in approximately 90% of cases. Re-ohstruction usually occurs in two to three months and repeat treatment may be necessary. Limitations to laser use include the fact that equipment is expensive and there are technical restrictions. An alternative thermal modality is the bipolar coagulation tumour probe which employs bipolar electrocoagulation. It is less expensive and, if the tumour is circumferential, tends to be easier to use. (It should not be used if the cancer is noncircumferential.) The advantages and limitations of each modality are addressed. |
| format | Article |
| id | doaj-art-49e17216138c47fca909fd540c7cf1b3 |
| institution | Kabale University |
| issn | 0835-7900 |
| language | English |
| publishDate | 1992-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Canadian Journal of Gastroenterology |
| spelling | doaj-art-49e17216138c47fca909fd540c7cf1b32025-02-03T05:46:20ZengWileyCanadian Journal of Gastroenterology0835-79001992-01-016529029610.1155/1992/396424Tumour Debulking for Esophageal Cancer - Thermal ModalitiesDavid Fleischer0Georgetown University, Washington, DC, USAEsophageal cancer usually is discovered at a late stage and curative therapy seldom is possible. The prognosis is poor and most therapy is palliative. Endoscopic therapy commonly is employed; two common treatments involve thermal modalities. The Nd:YAG laser has been employed for 10 years and is effective in relieving obstruction in approximately 90% of cases. Re-ohstruction usually occurs in two to three months and repeat treatment may be necessary. Limitations to laser use include the fact that equipment is expensive and there are technical restrictions. An alternative thermal modality is the bipolar coagulation tumour probe which employs bipolar electrocoagulation. It is less expensive and, if the tumour is circumferential, tends to be easier to use. (It should not be used if the cancer is noncircumferential.) The advantages and limitations of each modality are addressed.http://dx.doi.org/10.1155/1992/396424 |
| spellingShingle | David Fleischer Tumour Debulking for Esophageal Cancer - Thermal Modalities Canadian Journal of Gastroenterology |
| title | Tumour Debulking for Esophageal Cancer - Thermal Modalities |
| title_full | Tumour Debulking for Esophageal Cancer - Thermal Modalities |
| title_fullStr | Tumour Debulking for Esophageal Cancer - Thermal Modalities |
| title_full_unstemmed | Tumour Debulking for Esophageal Cancer - Thermal Modalities |
| title_short | Tumour Debulking for Esophageal Cancer - Thermal Modalities |
| title_sort | tumour debulking for esophageal cancer thermal modalities |
| url | http://dx.doi.org/10.1155/1992/396424 |
| work_keys_str_mv | AT davidfleischer tumourdebulkingforesophagealcancerthermalmodalities |