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Interventions for dysphagia in oesophageal cancer
Cochrane Reviews, 10/27/09
Sreedharan A et al. – The main objective of palliative treatment in patients with inoperable oesophageal or gastro–oesophageal junctional cancers is to achieve adequate improvement in dysphagia and quality of life, with a reduced need for additional interventions. Insertion of self–expanding metal stents is safe and provides swift relief of dysphagia. Other techniques, such as external beam radiotherapy or brachytherapy, are suitable alternatives and might provide a better quality of life and prolong survival in these patients. This review has not shown a clear superiority of any of the interventions and emphasises the need to choose carefully from the available interventions to suit the individual patient's requirements.
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