Palliative treatment of malignant esophageal-cardiac stricture in the ederly

Sammarco et al. BMC Geriatrics 2010, 10(Suppl 1):A33 http://www.biomedcentral.com/1471-2318/10/S1/A33 MEETING ABSTRACT Open Access Palliative treatment of malignant esophageal- cardiac stricture in the ederly *G Sammarco , G Vescio, A Puzziello, E Marra, R Sacco From de Senectute: Age and Health Forum Catanzaro, Italy. 5-7 December 2009 Background patients at high surgical risk: broncho-esophageal fistula Radical treatment of cancer, is also in the ederly, the or diffuse metastasis, we perform palliative procedures. gold standard of surgery. If the patient’s performance The by-pass with left colon graft was used in 24 cases, status contraindicated radical surgery, palliative treat- with high mortality and morbidity and poor mean survi- ment is the only possibility to improve survival and the val(9,7 months) ;at the moment, in such cases, we prefer patient’s quality of life. We report our experience related to use tubulized stomach at retrosternal place. Non to the treatment of 250 esophageal-cardiac tumors. expandable wallstent has been applied with open surgical procedure in 14 cases( mortality 35%;morbidity 50% ). In Materials and methods 19 patients in whom we applied a non expandable stent From 2000 to 2007 we treated 250 patients(mean age 72 by endoscopic technique (Nottingham set) we report no aa) initially at surgical clinic of II medical school of mortality and low morbidity. Finally 40 patients were Naples university and then at Catanzaro medical school.