Table 3 - Palliative therapies for esophageal adenocarcinoma


From the following article

Barrett's adenocarcinoma

Sachin Wani and Prateek Sharma

GI Motility online (2006)

doi:10.1038/gimo45

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Source: Adapted from Monkemuller KE, Wilcox CM. The options for palliation of esophageal adenocarcinoma. In: Sharma P, Sampliner RE, eds. Barrett's Esophagus and Esophageal Adenocarcinoma, 1st ed. New York: Blackwell Science, 2001:208–217.

Method
1. Surgical therapy
   a. Surgery alone
   b. Surgery in combination with preoperative radiation and/or chemotherapy
2. Radiation (external or intracavitary) and chemotherapy
3. Endoscopic
   a. Dilation
      Savary-Gillard (over a guidewire)
      Olive (Eder-Puestow)
      Lead-filled rubber bougie (Maloney)
      Balloon
   b. Laser
      Nd:YAG laser
      Photodynamic electrocoagulation
   c. Sclerotherapy
      Thermal: Bipolar electrocautery (BICAP), electrocoagulation
      Chemical (absolute alcohol, sodium morrhuate, ethyl alcohol)
4. Prosthesis (placed endoscopically or radiologically)
   a. Plastic
   b. Metal or self-expanding metal stents (SEMS)