Optimal Management of Dysphagia in Patients with Inoperable Esophageal Cancer: Current Perspectives.
cryotherapy
esophageal cancer
external beam radiation therapy
self-expandable metal stent
Journal
Cancer management and research
ISSN: 1179-1322
Titre abrégé: Cancer Manag Res
Pays: New Zealand
ID NLM: 101512700
Informations de publication
Date de publication:
2022
2022
Historique:
received:
12
07
2022
accepted:
08
11
2022
entrez:
30
11
2022
pubmed:
1
12
2022
medline:
1
12
2022
Statut:
epublish
Résumé
The majority of patients with esophageal cancer are diagnosed at an advanced, incurable stage. Palliation of symptoms, specifically dysphagia, is a crucial component to improve quality of life and optimize nutritional status. Despite multiple available treatment modalities, there is not one accepted or recommended to be the preferred treatment option. Palliative management is often decided by a multidisciplinary team considering factors including local availability, preference, patient life expectancy, and symptom severity. Systemic therapies such as chemotherapy are the most commonly used palliative modalities. Oncologists are most familiar with radiation for dysphagia palliation, especially for advanced metastatic cancer patients with good performance status. One common approach used by endoscopist is self-expandable metal stents. This is preferred for patients with short-term survival and poor functional status as it provides rapid relief of dysphagia. Cryotherapy is a relatively new endoscopic ablative modality and appears to be a promising option for dysphagia palliation, but more data is needed for wider adoption. This review summarizes the current literature on endoscopic and non-endoscopic treatment options for malignant dysphagia.
Identifiants
pubmed: 36448034
doi: 10.2147/CMAR.S362666
pii: 362666
pmc: PMC9701451
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
3281-3291Informations de copyright
© 2022 Mohapatra et al.
Déclaration de conflit d'intérêts
Toufic Kachaamy: Consultant for Medtronic, Steris, Pentax, Microtech. Receives educational support from Boston Scientific and Cook. Rahul Pannala: Research funding from ERBE, USA, consulting fees from HCL technologies, personal fees from Bluestar Genomics and Nestle Health Sciences, and grants from Fractyl Labs. All other authors have no financial disclosures.
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