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Correspondence
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Volume 330:790-791 March 17, 1994 Number 11
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Expansile Stents in Esophageal Cancer

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 by Knyrim, K.
To the Editor: On the basis of reduced procedure-related mortality and the absence of stent migration, Knyrim et al. (Oct. 28 issue)1 conclude that expansile metal stents are superior to conventional plastic endoprostheses in the treatment of esophageal obstruction due to inoperable cancer.

In their discussion of alternatives, the authors state, "Radiotherapy achieves an acceptable degree of palliation of dysphagia in approximately 40 percent of patients, but it may take two months." This statement does not represent a fair appraisal of the degree of palliation achieved with radiation alone or with combined chemotherapy and radiation. In a study of 120 . . . [Full Text of this Article]

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