CARCINOMA OESOPHAGUS

COMPARISON OF VARIOUS TREATMENT MODALITIES

Abstract

Objective: To compare various modalities of treatment in management of carcinoma oesophagus
with particular stress on relief of dysphagia due to ca. Design: Descriptive, retrospective study. Setting: Surgical
department CMH Rawalpindi. Period: From 1996 to 2000 (4 years). Patients & Methods. The study subjects included
33 patients with histopathological diagnosis of carcinoma oesophagus (including criteria), 28 patients were operated
upon (curative 18, palliative 10) with 17.5% operative mortality, 4 merited solely on chemo/radiation therapy (advance
stage tumor), while 01 patent opted for chemo/radiation despite being favorable candidate for surgery. Results: Of the
33 cases, 29 were operated out of which 11 were subjected to Ivor-lewis procedure, 15 were operated upon through
transhiatal approach while in the remaining cases, palliative bypass procedures were done. Conclusion: Surgery
(transthoracic + tans hiatal approach) proved to be the only reliable mode of treatment whether supplemented by
adjuvant therapy or not, Chemo/radiation as a sole mode of treatment had drastic results.