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Stents in patients with esophageal cancer before chemoradiotherapy: high risk of complications and no impact on the nutritional status

Mão-de-Ferro, S ; Serrano, M ; Ferreira, S ; Rosa, I ; Lage, P ; Alexandre, D P ; Freire, J ; Mirones, L ; Casaca, R ; Bettencourt, A ; Pereira, A D

European journal of clinical nutrition, 2016-03, Vol.70 (3), p.409-410 [Periódico revisado por pares]

England: Nature Publishing Group

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Título:
Stents in patients with esophageal cancer before chemoradiotherapy: high risk of complications and no impact on the nutritional status
Autor: Mão-de-Ferro, S ; Serrano, M ; Ferreira, S ; Rosa, I ; Lage, P ; Alexandre, D P ; Freire, J ; Mirones, L ; Casaca, R ; Bettencourt, A ; Pereira, A D
Assuntos: Aged ; Cancer ; Cancer patients ; Chemoradiotherapy ; Chemotherapy ; Complications ; Complications and side effects ; Deglutition Disorders - diagnosis ; Deglutition Disorders - etiology ; Deglutition Disorders - therapy ; Drug therapy ; Dysphagia ; Endoscopes ; Enteral Nutrition ; Esophageal cancer ; Esophageal Neoplasms - complications ; Esophageal Neoplasms - therapy ; Esophagus ; Female ; Health aspects ; Humans ; Implants ; Male ; Malnutrition ; Malnutrition - diagnosis ; Malnutrition - etiology ; Malnutrition - therapy ; Methods ; Middle Aged ; Nutrition ; Nutritional Status ; Ostomy ; Patients ; Prospective Studies ; Radiation therapy ; Stent (Surgery) ; Stents ; Weight loss
É parte de: European journal of clinical nutrition, 2016-03, Vol.70 (3), p.409-410
Notas: ObjectType-Article-2
SourceType-Scholarly Journals-1
ObjectType-Undefined-1
ObjectType-Feature-3
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Descrição: Preoperative chemoradiotherapy is the standard of care for locally advanced esophageal cancer, causing persistent deterioration in the nutritional status. We performed a prospective study to evaluate the safety and efficacy of esophageal double-covered self-expandable metal stents in patients with esophageal cancer before chemoradiotherapy. The nutritional status and dysphagia were prospectively recorded. Eleven patients were included: eight were moderate and three were severely malnourished. After stent placement, dysphagia improved in all patients. With regard to complications, one patient developed an esophageal perforation that required urgent esophagectomy. Four patients presented stent migration. Three of these patients required enteral nutrition and none was submitted to surgery because of poor nutritional status. Of the other six patients, only four were operated upon. Stent placement presented a high complication rate and did not prevent weight loss or malnutrition. Other alternatives, including naso-gastric tube placement or endoscopic percutaneous gastrostomy or jejunostomy, should be considered.
Editor: England: Nature Publishing Group
Idioma: Inglês

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Stents in patients with esophageal cancer before chemoradiotherapy: high risk of complications and no impact on the nutritional status

Mão-de-Ferro, S ; Serrano, M ; Ferreira, S ; Rosa, I ; Lage, P ; Alexandre, D P ; Freire, J ; Mirones, L ; Casaca, R ; Bettencourt, A ; Pereira, A D

England: Nature Publishing Group

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