Investigation Outcomes of Laparogastroscopy – An Alternative Palliative Method of Endoscopic Stenting in Advanced or Inoperable Esophageal Cancer – In Patients with and Without Prior Chemo and Radiotherapy

The study presents a retrospective analyses of patients with advanced esophageal cancer who underwent esophageal stenting due to unresectability of the tumor. Stenting was performed by laparogastroscopy, an innovative mini-invasive, palliative surgical method that can be used as an alternative to gastrostomy when endoscopic stenting is too risky or impossible. We investigated the outcomes of laparogastroscopy in patients with or without chemo- and radiotherapy. Laparogastroscopy reliefs dysphagia immediately, enables oral nutrition thus improving the quality of life. The results of this procedure are presented in a retrospective analysis of a study group of 114 patients with inoperable esophageal carcinoma. Post-operative dysphagia was absent in most patients, all patients could initiate oral feeding. We didn’t found significant statistical differences in terms of hospitalization days between patients with vs. without prior chemotherapy nor with vs. without prior radiotherapy. The most frequent postoperative complications were restenosis, stent migration and hemorrhage with no significant statistical differences between patients stented by laparogastroscopy with vs. without prior chemoradiotherapy. The benefits of prior chemoradiotherapy in stenting of advanced esophageal malignant tumor is still controversial.