J Med Assoc Thai 2001; 84 (10):1443

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Palliative Esophageal Stent or Surgery in Advanced Esophageal Malignancy
Manomaipiboon A Mail, Wattanasirichaigoon S , Srisaovajate S , Thanapongsathom W , Nggitphaiboon W , Sangpayup Y

Esophageal malignancy is one of the most aggressive malignancies. Unfortunately, the
majority of patients present with incurable disease. Then palliative treatment to relieve dysphagia
is the mainstay of treatment. We compared the mortality, procedure-related complications, hospital
stay, intervention time, improvement of dysphagia and survival time between esophageal stent and
surgery. There were twenty patients who underwent esophageal stent and twenty-three patients
underwent surgical treatment. Pretreatment characteristics were similar between the two groups. The
mortality between the surgical group and the esophageal stent group was 30.43 per cent (7/23) and 5
per cent (l/20) (p

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