Advanced esophagea/ cancer (AEC) is diagnosedduring those stages in which surgery is posible,it is pal/iative for disphagia, with high morbimortality.In inoperable or irresectable cases, resortingto alternative treatment such as radiotheraPYor endoscopy may pal/iate disphagia. Endoscopicallyit is possib/e to place a transtumoral nasogastriccatheter (NGC) for preoperative nutrition orbranchial therapy (intratumoral iridium). lt is possibleto dilate the tumor and place and indwellingp/astic or auto expandable prosthesis or to injectabso/ute intratumoral alcohol.There is an evaluation of resu/ts and morbimortalityof personal case material through the retrospectivestudy of 54 patients in whom 120 proceduressuch as those referred to above were carriedout.

El cáncer avanzado de esófago (CAE) se diagnosticaen etapas en que la cirugía, si es posible,es paliativa de la disfagia, con morbimortalidadelevada. En casos inoperables o irresecables, tratamientosalternativos como radioterápicos o endoscópicospueden paliar la disfagia. Endoscópicamentese puede colocar una sonda nasogástrica(SNG) transtumoral para nutrición preoperatorioo para braquiterapia (iridium intratumora/). Puededilatarse el tumor o colocarse una prótesis plásticao autoexpandible, o inyectar alcohol absolutointratumoral.