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Malawi Medical Journal
College of Medicine, University of Malawi and Medical Association of Malawi
ISSN: 1995-7262
Vol. 24, No. 1, 2012, pp. 5-7
Bioline Code: mm12002
Full paper language: English
Document type: Research Article
Document available free of charge

Malawi Medical Journal, Vol. 24, No. 1, 2012, pp. 5-7

 en Improving palliative treatment of patients with nonoperable cancer of the oesophagus: training doctors and nurses in the use of self-expanding metal stents (SEMS) in Malawi
Thumbs, A.; Vigna, L.; Bates, J.; Fullerton, L. & Kushner, A.L.


Cancer of the oesophagus is the 6th most common cancer in Malawi. Nationwide only three hospitals are able to perform oesophagectomies, and there is no radiotherapy- or chemotherapy available. Owing to late presentation of the patients (sometimes in combination with comorbidities such as HIV/AIDS or tuberculosis) the vast majority of patients are not suitable for surgery. Self-expanding metal stents (SEMS) of the oesophagus provide a suitable palliative option to improve the quality of life for patients. This project took a nationwide approach, raising funds for both technical equipment and training of endoscopists and nursing staff throughout Malawi.

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