Abstract

No abstract available.

Highlights

  • The majority of patients with carcinoma of the oesophagus present with advanced stage disease and poor prognosis, with difficulty in swallowing as the major presenting symptom.[1]

  • Intraluminal radiation therapy is useful for controlling the endoluminal disease and this treatment modality leads to rapid improvement in swallowing

  • Various authors have published on the use of low and high dose rate intraluminal brachytherapy alone or in combination with external beam radiation therapy for the palliation of advanced oesophageal cancer.[2,3,4,5]

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Summary

Introduction

The majority of patients with carcinoma of the oesophagus present with advanced stage disease and poor prognosis, with difficulty in swallowing as the major presenting symptom.[1] Intraluminal radiation therapy is useful for controlling the endoluminal disease and this treatment modality leads to rapid improvement in swallowing. Various authors have published on the use of low and high dose rate intraluminal brachytherapy alone or in combination with external beam radiation therapy for the palliation of advanced oesophageal cancer.[2,3,4,5] Ideally, the palliative treatment should not aggravate the patient’s symptoms by causing treatmentrelated toxicity or complications. The purpose of the modified technique is: (i) accurate assessment of the length of the lesion on Hexabrix swallow; and (ii) to decrease the fluoroscopy time during the procedure, thereby reducing staff exposure to radiation

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