Abstract
Objective: To compare various modalities of treatment in management of carcinoma oesophaguswith particular stress on relief of dysphagia due to ca. Design: Descriptive, retrospective study. Setting: Surgicaldepartment CMH Rawalpindi. Period: From 1996 to 2000 (4 years). Patients & Methods. The study subjects included33 patients with histopathological diagnosis of carcinoma oesophagus (including criteria), 28 patients were operatedupon (curative 18, palliative 10) with 17.5% operative mortality, 4 merited solely on chemo/radiation therapy (advancestage tumor), while 01 patent opted for chemo/radiation despite being favorable candidate for surgery. Results: Of the33 cases, 29 were operated out of which 11 were subjected to Ivor-lewis procedure, 15 were operated upon throughtranshiatal approach while in the remaining cases, palliative bypass procedures were done. Conclusion: Surgery(transthoracic + tans hiatal approach) proved to be the only reliable mode of treatment whether supplemented byadjuvant therapy or not, Chemo/radiation as a sole mode of treatment had drastic results.
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