RÉSUMÉ
Les auteurs rapportent les résultats d’un essai comparant la mise en place d’endoprothèses d’Atkinson et l’emploi de la sonde BICAP pour tumeur dans le traitement palliatif du cancer œsophagien.
Les effets de la dysphagie, le type de diète consommée, et les risques de complications sont évalués.
Une seule séance de traitement avec la sonde BICAP a apporté un soulagement de la dysphagie chez la plupart des malades, mais d’habitude on devait la refaire.
La comparaison des scores de dysphagie ne montre pas de différence significative entre les deux groupes. Le traitement par sonde BICAP tumeur provoque peu de complications et sa valeur palliative est équivalente à celle de la prothèse.
Summary
The use of the Atkinson tube and BICAP tumor were compared for palliation of malignant oesophageal strictures with respect to the effects on dysphagia, the type of diet consumed, and the risk of complications.
A single treatment with the bipolar probe improved dysphagia in most patients, but usually had to be repeated. There was no difference in improvement between the two methods as judged by dysphagia scores. The risk of complication with the ACMI instrument is low.
The tumour probe and Atkinson tube give comparable palliation and appear complementary.
Resumen
Los autores exponen los resultados de un estudio comparativo entre la colocación de endoprótesis de Atkinson y el empleo de una sonda BICAP para tumores, en el tratamiento paliativo del cáncer esofágico.
Los efectos sobre la disfagia, el tipo de dieta consumida, tiempo de supervivencia y riesgos de las técnicas son los datos evaluados.
Los tumores del esófago medio fueron tratados con endoprótesis y los del tercio inferior por sonda BICAP. Cuando se compararon los « scores » de disfagia no se mostraron diferencias significativas entre los dos grupos. El tratamiento con la sonda BICAP-tumor produce pocas complicaciones y su valor en la paliación es equivalente al de la prótesis.
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McIntyre, A.S., Morris, D.L. & Burnham, W.R. Etude comparative du tube d’Atkinson et de la sonde tumorale ACMI dans le traitement palliatif des sténoses œsophagiennes. Acta Endosc 18, 183–190 (1988). https://doi.org/10.1007/BF02973470
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DOI: https://doi.org/10.1007/BF02973470