Best Supportive Care of the Patient with Oesophageal Cancer

Oesophageal cancer patients have poor survival, and most are unfit for curative or systemic palliative treatment. This article aims to review the best supportive care for oesophageal cancer, focusing on the management of its most frequent or distinctive symptoms and complications. Evidence-based rev...

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Bibliographic Details
Published in:Cancers 2022-12, Vol.14 (24), p.6268
Main Authors: Pichel, Rita Carrilho, Araújo, Alexandra, Domingues, Vital Da Silva, Santos, Jorge Nunes, Freire, Elga, Mendes, Ana Sofia, Romão, Raquel, Araújo, António
Format: Article
Language:English
Subjects:
Bleeding
Cancer
Cancer therapies
Care and treatment
Clinical medicine
Decision making
Dysphagia
Enteral nutrition
Esophageal cancer
Esophagus
Fistulae
Health aspects
Implants
Life expectancy
Malnutrition
Management
Medical prognosis
Methods
Mortality
Narcotics
Nausea
Nutrition
Pain
Palliation
Palliative care
Parenteral nutrition
Patients
Quality of life
Radiation therapy
Review
Social aspects
Vomiting
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Summary:Oesophageal cancer patients have poor survival, and most are unfit for curative or systemic palliative treatment. This article aims to review the best supportive care for oesophageal cancer, focusing on the management of its most frequent or distinctive symptoms and complications. Evidence-based review on palliative supportive care of oesophageal cancer, based on Pubmed search for relevant clinical practice guidelines, reviews and original articles, with additional records collected from related articles suggestions, references and societies recommendations. We identified 1075 records, from which we screened 138 records that were related to oesophageal cancer supportive care, complemented with 48 additional records, finally including 60 records. This review summarizes the management of oesophageal cancer-related main problems, including dysphagia, malnutrition, pain, nausea and vomiting, fistula and bleeding. In recent years, several treatments have been developed, while optimal management is not yet standardized. This review contributes toward improving supportive care and decision making for oesophageal cancer patients, presenting updated summary recommendations for each of their main symptoms. A robust body of evidence is still lacking, and the best supportive care decisions should be individualized and shared.
ISSN:2072-6694
2072-6694
DOI:10.3390/cancers14246268