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The Journal of Thoracic and Cardiovascular Surgery, Vol 79, 67-73, Copyright © 1980 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association

ARTICLES

Treatment of esophageal carcinoma: a retrospective review

GF Schuchmann, WH Heydorn, RV Hall, SC Carter, JT Gillespie, BA Grishkin and EC James

Two hundred fourteen patients underwent treatment for carcinoma of the esophagus between January, 1950, and July, 1978, with an over-all 5 year survival rate of 1.9%. Forty-six patients (21.5% of series) underwent esophageal resection with either esophagogastrostomy (37 patients) or colon interposition (nine patients). The operative mortality rate was 18.9% for the esophagogastrectomy group and 33% for the colon interposition patients. "Curative" resections resulted in a 14.3% 5 year survival rate. One hundred twenty-seven patients (59.3% of series) were treated by irradiation therapy, with a mean survival time of 9.6 months for patients receiving "curative" dosage (over 4,500 rads). There were no 5 year survivors in this group. Palliative procedures, such as feeding gastrostomy and palliative (less than 4,500 rads) irradiation therapy, contributed little to patient comfort or survival. We favor a palliative approach to the treatment of esophageal carcinoma and believe that, when possible, esophageal resection with esophagogastrostomy is the preferable form of therapy and offers an occasional cure.


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J. S. McCaughan Jr., T. E. Williams Jr., and B. H. Bethel
Palliation of Esophageal Malignancy with Photodynamic Therapy
Ann. Thorac. Surg., August 1, 1985; 40(2): 113 - 120.
[Abstract] [PDF]


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