Revista Cubana de Cirugía
versão On-line ISSN 1561-2945
BARRERA ORTEGA, Juan Carlos; MEDEROS CURBELO, Orestes Noel; DA COSTA FERNANDEZ, José Manuel e GIGATO DIAZ, Anniuska. Effectiveness of absolute alcohol to canalize the esophageal non-resectable tumors. Rev Cubana Cir [online]. 2010, vol.49, n.4, pp. 9-14. ISSN 1561-2945.
INTRODUCTION. In more than 75% of patients presenting with esophageal cancer the procedures performed are of type palliative and there is a ethical dilemma on the way to solve the major problem: the feeding. The objective of present paper was to emphasize the significance of infiltrations with absolute alcohol to achieve the implantation of handmade esophageal prostheses using the traction method. METHODS. A linear and prospective study was performed in patients presenting with non-resectable esophageal cancer admitted between 1995 and 2009. A total of 112 patients were assessed with 65 of them treated using palliative methods. Fifty five esophageal prostheses were placed and in 10 of these cases it was necessary to tunnelled previously the tumor with absolute alcohol infiltrations. RESULTS. The nasogastric tube was passed in the 90% of patients needing infiltrations of absolute alcohol. One or two sessions were necessary but one of them need three sessions of infiltrations without complications. CONCLUSIONS. The combination of absolute alcohol and prosthesis allows to eliminate the dysphagia in cases of advanced cancer and cardias. When there is a total stenosis, the absolute alcohol is a appropriate method to canalize the esophageal tumoral stenosis before to place the prosthesis. In most of cases are enough 1 or 2 sessions of infiltrations.
Palavras-chave : Esophageal cancer; canalization; infiltration; absolute alcohol.