Severe complications in advanced esophageal cancer treated with radiotherapy after intubation of esophageal stents: a questionnaire survey of the Japanese society for esophageal diseases

Nishimura, Yasumasa; Nagata, Kenji; Katano, Susumu; Hirota, Saeko; Nakamura, Katsumasa; Higuchi, Fumi; Soejima, Toshinori; Sai, Heitetsu

doi:10.1016/s0360-3016(03)00198-6

Cited by 75 publications

(51 citation statements)

References 14 publications

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“…While this increases the total number of anastomoses to 2, it is valuable in certain situations. There are reports regarding radiation therapy before and after stent insertion [11][12][13][14]. Particularly, radiation therapy after stent insertion may have negative effects.…”

Section: Discussionmentioning

confidence: 99%

Bypass Operation for Unresectable Esophageal Cancer: Postoperative Complications After Thoracotomy Versus No Thoracotomy

Kimura

2016

Indian J Surg

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Patients with unresectable esophageal cancer suffer from dysphagia, causing severe malnutrition and reduced quality of life (QOL). We elect to perform bypass because patients can have greater long-term survival with chemoradiation following this operation. We sought to compare complications in cases of bypass without thoracotomy versus those with thoracotomy. Thirty-four locally advanced esophageal cancer patients between 2007 and 2014 were studied. Eighteen patients underwent thoracotomy, and 16 patients did not have a thoracotomy. CT was obtained to check the anastomosis and the oral stump of the esophagus and to measure the diameter of the intrathoracic esophagus. In the thoracotomy group, the rate of postoperative pulmonary complications was high. On the other hand, in the non-thoracotomy group, the rates of anastomotic leak and recurrent nerve paralysis were high. The stump of the esophagus was 2 cm lower in the T group than in the nT group. As the esophagus shortens after division, the final difference in esophageal height between the groups was only around 1 cm. We concluded that a viable gastric tube with a good blood supply as well as a careful cervical operation are the most important aspects of the esophageal bypass operation.

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Section: Discussionmentioning

confidence: 99%

Bypass Operation for Unresectable Esophageal Cancer: Postoperative Complications After Thoracotomy Versus No Thoracotomy

Kimura

2016

Indian J Surg

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“…In our study, ten of 18 patients underwent some form of anti-cancer treatment, including chemotherapy and chemoradiotherapy. In Japanese guidelines for the diagnosis and treatment of esophageal cancer, radiotherapy or chemoradiotherapy after esophageal stent placement is not recommended because of the high prevalence of complications, such as fistula formation [18,19]. However, guidance regarding anticancer treatments after airway stent placement is lacking.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of esophageal and airway stent placement for patients with advanced and recurrent esophageal cancer

et al. 2016

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stent group were significantly improved (p = 0.0078). In the esophageal stent group, major complications (CTCAE grade ≥3) occurred in seven of ten patients (70 %). In the airway stent group, major complications occurred in three of nine patients (33 %). Median survival of all 18 patients was 87.5 (range 13-1952) days after esophageal and/or airway stent placement. Conclusions Stent placement is effective for the improvement of malignant dysphasia and dyspnea caused by advanced esophageal cancer.

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“…However, insertion of SEMS has a complication rate of 26-52% [11], and about one in six patients need repeat-endoscopic interventions, thereby increasing morbidity and adding cost to the treatment [4,5,12]. Several studies have noted poor results in patients who had SEMS placed before or during radiation therapy [13,14]. In a study of 108 patients, the authors reported an increased incidence of stent-related complications and higher rate of stent removal in those patients who underwent stent placement prior to radiation therapy [13].…”

Section: Discussionmentioning

confidence: 99%

Clinical Outcomes of Using a Conservative Approach of Late Esophageal Stent Placement in Palliation of Malignant Dysphagia

Chadha

Schiff

Sitrin

et al. 2010

J Gastrointest Canc

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Severe complications in advanced esophageal cancer treated with radiotherapy after intubation of esophageal stents: a questionnaire survey of the Japanese society for esophageal diseases

Cited by 75 publications

References 14 publications

Bypass Operation for Unresectable Esophageal Cancer: Postoperative Complications After Thoracotomy Versus No Thoracotomy

Bypass Operation for Unresectable Esophageal Cancer: Postoperative Complications After Thoracotomy Versus No Thoracotomy

Evaluation of esophageal and airway stent placement for patients with advanced and recurrent esophageal cancer

Clinical Outcomes of Using a Conservative Approach of Late Esophageal Stent Placement in Palliation of Malignant Dysphagia

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