Esophageal carcinoma: Twelve years experience

Authors

  • Sompop Prathanee Cardiovascular and thoracic unit, Department of Surgery, Srinagarind Hospital
  • Cherdchai Tontisirin Cardiovascular and thoracic unit, Department of Surgery, Srinagarind Hospital
  • Chusak Kuptanon Cardiovascular and thoracic unit, Department of Surgery, Srinagarind Hospital

Keywords:

Esophageal carcinoma, cancer

Abstract

                Esophageal carcinoma is one of the malignant disease commonly found in the South of Thailand.  This report is a retrospective study of esophageal carcinoma in one referal center of the Northeast of Thailand.

                A total 55 cases of esophageal carcinoma were treated at our unit between August 1982 and December 1994. Among these patients, the ratio between male and female was 3.2 to 1 and the average age was 59.2 years. All of the patients were advanced stage (III, IV).

                The common sites of tumor were in the mid thoracic esophagus (34.5%), The pathological findings were squamous cell carcinoma (27 cases), adenocarcinoma (12 cases) and no record 16 cases. Fifty three cases were operated and 2 cases were treated only by radiotherapy.  In the operated group, 8 cases died (15%) from sepsis and acute myocardial infarction. The long term follow up (39/55 cases) showed that 2 cases survived for 5 years or more and the others survived between one month and twelve months

                Surviving surgical patients who were treated by resection or by pass operation (39/53 or 73.5%) can by supported by oral nutrition by themselves. Surgical treatment by skillful surgeon and complete tumor resection should be the proper management of esophageal carcinoma even in advances cases.

References

1. Shahian DM, Neptune WB, Elis FH, JR, Walkin E. Transthoracic versus extrathoracic esophagectomy : Mortality, morbidity, and long-term survival. Ann Thorac Surg 1986 ; 41 : P.237-246.

2. Apinop C, Alan FG, Puttisak P et al. Early detection of esophageal carcinoma in Southern Thailand 14th annual meeting of the Royal college of surgeon of Thailand, 1987, p. 453.

3. Prathanee S, Tontisirin C, Kuptanond C, Tongsopit N. Esophageal carcinoma : Uncommon disease in the Northeasthern of Thailand. Srinagarind hosp. medical Journal 1990 ; 5 (3) : p. 203-206.

4. Miller JI, McIntyre B, Hatcher CR. Jr. Combined treatment approach in surgical management of carcinoma of the esophagus : A preliminary report. Ann Thorac Surg 1985 ;40(3) : p.289-293.

5. Girvin GW, Matsumoto GH, Bates DM et al. Treating esophageal cancer with a combination of chemotherapy, radiation and excision. The American Journal of Surgery 1995 ; 169 : p. 557-559.

6. Siewert JR, Holscher. Current strategy in surgery for esophageal cancer. Ann Ital chir, 1992 ; LXIII :p.13-18.
7. Stewart JR, Sarr MG, Sharp KW et al. Transhiatal (blunt) esophagectomy for malignant and benign esophageal disease : Clinical experience and treatment. Ann Thorac Surg 1985 ; 40 (4) : p. 343-348..

8. Zittel TT, Allgaier D, Grund KE. Laser therapy for esophageal cancer, result and additional endoscopic treatment. Surg Endosc 1994 ; 8 : p. 1096-1100.

9. Zhang G, Fujita H, Yamana, Kakegawa T. A prediction of hospital mortality after surgical treatment for esophageal cancer. Surgery Today Jpn J Surg 1994 ; 24 : p. 122-127.

10. Hoddad NG, Fleischer DE. Endoscopic laser therapy for esophageal cancer. Gastrointestinal endoscopy clinics of north america. 1994 ; 4 (4) : p.863-874.

11. Goldschmid S, Nord HJ. Endoscopic diagnosis and treatment of esophageal cancer. Gastrointestinal endoscopy clinics of north america 1994;4(4): p.827-850.

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Published

1996-12-30

How to Cite

1.
Prathanee S, Tontisirin C, Kuptanon C. Esophageal carcinoma: Twelve years experience. Thai J Surg [Internet]. 1996 Dec. 30 [cited 2024 Dec. 24];17(4):167-72. Available from: https://he02.tci-thaijo.org/index.php/ThaiJSurg/article/view/250113

Issue

Vol. 17 No. 4 (1996): October - December

Section

Original Articles

License

Articles must be contributed solely to The Thai Journal of Surgery and when published become the property of the Royal College of Surgeons of Thailand. The Royal College of Surgeons of Thailand reserves copyright on all published materials and such materials may not be reproduced in any form without the written permission.