Endoscopic laser therapy for XXXX affecting the esophagus and gastroesophageal junction. Analysis of technical and functional efficacy.

@entity1 @entity5 @entity448 @entity189 @entity1442 @entity158 @entity1282
Thirty consecutive @entity1 with far-advanced @entity5 affecting the esophagus and gastroesophageal junction underwent palliative endoscopic neodymium-YAG laser therapy. No @entity1 were excluded from treatment, regardless of age, extent of disease, or performance status. Sessions were performed every other day and concluded when an endoscope could be easily passed beyond the previously obstructed area. Treatment was completed in 3.3 sessions (seven days). Luminal patency was achieved in 97%, but did not always equate with functional success. Seventy percent (21 @entity1 ) were able to ingest all necessary calories and leave hospital for home (functional success). Reasons for discrepancy between technical success and functional success included radiation-induced @entity1282 , @entity448 , @entity158 load and debility, and treatment complications. Endoscopic laser therapy of far-advanced esophageal or gastroesophageal junction @entity189 was almost always technically feasible, with relatively low morbidity. While technical success could not always be equated with functional success, therapy was "completely" functionally successful in 70% of @entity1 with @entity1442 . Poor performance status at accession correlated best with poor functional outcome.
