[Achalasia and esophageal cancer].

Autor: Corti RE; Sección Esófago-Estómago, Hospital de Gastroenterología, Bonorino Udaondo, Capital Federal Argentina., Monastra L, Fernández Marty P, Barco JC, Ferro FE, Galindo F, Musi AO, Kogan Z
Jazyk: Spanish; Castilian
Zdroj: Acta gastroenterologica Latinoamericana [Acta Gastroenterol Latinoam] 1992; Vol. 22 (2), pp. 115-8.
Abstrakt: During the period included between January 1970 and December 1990, we studied 242 patients with manometric and radiological diagnosis of esophageal achalasia. Eight of these patients (3.3%) developed during the evolution of their disease an esophageal carcinoma. Eight cases showed histologic type of epidermoid carcinoma: 3 differentiated, 3 semi-differentiated and 2 anaplastic. Therapy for achalasia was: one patient, Heller myotomy, 4 patients, dilatations with bougies in numerous opportunities, and the other two patients receive no treatment for achalasia. Two patients reported tracheobronchial fistulas as complication of carcinoma. Treatment received for carcinoma included: three patients, radiotherapy (4000 rads); one patient, chemotherapy; one patient, chemotherapy and radiotherapy, one resection surgery and two patients feeding gastrostomy. All of the eight patients died within the year of diagnosis of epidermoid carcinoma.
Databáze: MEDLINE