Abstract:
Although malignant neoplasms of the esophagus remain a very common disease, their diagnosis might often come late,which explains why 50% of patients require palliative treatment.The ideal scenario would be the per-formance of procedures that provided an adequate quality of life and as-tisfactorily restored swallowing .Thus the intend it shows the results of palliative methods ,discussed with emphasis on the tecnique of the isope-ristaltic greater curvature gastric tube (IGCGT).143 patients with unrese-ctable squamous cell carcinoma of the esophagus (T4b)were evaluated at this facility.In the early postoperative evaluation, 64 patients (44,7%) pre-sented systemic complicaitons, with pulmonar infection being the most frequent; 51 patients( 35,6%) presented local complications, with cervical esophagogastric anastomosis leak being the most frequent. Thirteen pat-ients(9,1%) died as a result of postoperative complications. Out of 112 patients who were adequately followed up, 91(81,2%) achieved good palliation with this procedure ,as they had adequate restoration of swallo-wing function, with a median survival of 3 years in 63 patients (69,2%). With these results,it is possible to conclude that despite showing non-negligible morbidity, IGCGT can be performed quickly and safely, offering adequate palliation and survival rate.
