Quality improvement guidelines for placement of esophageal stents

Esophageal cancer is now the sixth leading cause of death from cancer worldwide. During the past three decades, important changes have occurred in the epidemiologic patterns associated with this disease. Due to the distensible characteristics of the esophagus, patients may not recognize any symptoms...

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Bibliographic Details
Published in:Cardiovascular and interventional radiology 2005-05, Vol.28 (3), p.284-288
Main Authors: Sabharwal, Tarun, Morales, Jose P, Irani, Farah G, Adam, Andreas
Format: Article
Language:English
Subjects:
Aftercare
ARGON
Cancer
Cancer therapies
CHEMOTHERAPY
Contraindications
Esophageal Diseases - therapy
ESOPHAGUS
Humans
INJECTION
Intubation - adverse effects
Intubation - instrumentation
Intubation - methods
NEOPLASMS
PAIN
Patient Selection
Photodynamic therapy
Quality Assurance, Health Care
Radiation therapy
Radiography, Interventional
RADIOLOGY AND NUCLEAR MEDICINE
RADIOTHERAPY
SCANNING ELECTRON MICROSCOPY
Stents - adverse effects
Stents - classification
Treatment Outcome
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Summary:Esophageal cancer is now the sixth leading cause of death from cancer worldwide. During the past three decades, important changes have occurred in the epidemiologic patterns associated with this disease. Due to the distensible characteristics of the esophagus, patients may not recognize any symptoms until 50% of the luminal diameter is compromised, explaining why cancer of the esophagus is generally associated with late presentation and poor prognosis. Esophageal cancer has a poor outcome, with an overall 5 year survival rate of less than 10%, and fewer than 50% of patients are suitable for resection at presentation. As a result palliation is the best option in this group of patients. The aims of palliation are maintenance of oral intake, minimizing hospital stay, relief of pain, elimination of reflux and regurgitation, and prevention of aspiration. For palliative care, current treatment options include thermal ablation, photodynamic therapy, radiotherapy, chemotherapy, chemical injection therapy, argon beam or bipolar electrocoagulation therapy, enteral feeding (nasogastric tube/percutaneous endoscopic gastrostomy), and intubation (self-expanding metal stents (SEMS) or semi-rigid prosthetic tubes) with different success and complications rates.
ISSN:0174-1551
1432-086X
DOI:10.1007/s00270-004-0344-6