Indian Journal of Palliative Care
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Year : 2006  |  Volume : 12  |  Issue : 2  |  Page : 68--70

Endoscopically placed guide wire assisted nasogastric tube insertion for palliation of absolute dysphagia in patients with incurable esophageal cancer

Departments of Surgical Oncology and Palliative Care Unit, Dr. B. Borooah Cancer Institute,Gopinath Nagar, Guwahati - 781016, Assam, India

Correspondence Address:
Joydeep Purkayastha
Flat No A - 1, Purbasha Apartments, Soni Ram Borah Road, Near Bora Service, Guwahati - 781 007, Assam
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0973-1075.30248

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Carcinoma of the esophagus is a dreadful disease because it causes a lot of distress to the patient due to its adverse effects on swallowing. Many patients present with large incurable disease or undergo disease progression and become incurable. Such patients are advised palliative and symptomatic care. The most distressing symptom that requires palliation in such patients is dysphagia. Many procedures are available for relief of dysphagia, but these are not readily available or are costly. We describe a simple, safe, cost effective and easy to do procedure for palliation of malignant dysphagia by insertion of Ryle's tube over a endoscopically placed guide wire especially suitable for patients of the poor socio-economic strata.


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Online since 1st October '05
Published by Wolters Kluwer - Medknow