Laser palliation for esophageal carcinoma.

The treatment of esophageal carcinoma presents itself or evolves into a palliative situation. The most likely symptom to distress the patient is obstruction. It is necessary to have available a means of alleviating this symptom in a way that will be effective, comfortable, and efficient in terms of time and expense. The Nd:YAG and the carbon dioxide lasers can give this type of palliation. This review of our experience in the cervical and lower two thirds of the esophagus has led us to believe that true palliation can be effected in both areas. Treatment is easier and more straight forward in the lower esophagus. The results in the upper one third require more care, but can be just as rewarding.