A Case of Inoperable Advanced Esophageal Cancer Possibly Preserved Quality of Life by Outpatient-clinic Treatments with Double Stenting and Continuous Chemotherapy

Accession number;03A0290516
Title;A Case of Inoperable Advanced Esophageal Cancer Possibly Preserved Quality of Life by Outpatient-clinic Treatments with Double Stenting and Continuous Chemotherapy
Author; SASHIYAMA HIROSHI (Chibadai Kogakuiryoshinryobu) KOZU TERUO (Chibadai Kogakuiryoshinryobu) HISHIKAWA ETSUO (Chibadai Kogakuiryoshinryobu) MIYAZAKI SHIN'ICHI (Chiba Univ., JPN) OCHIAI TAKENORI (Chiba Univ., JPN)
Journal Title;Gastroenterol Endosc
Journal Code:G0608B
ISSN:0387-1207
VOL.45;NO.4;PAGE.843-848(2003)
Figure&Table&Reference;FIG.4, REF.13
Pub. Country;Japan
Language;Japanese
Abstract;A 71-year-old man presenting lower esophageal stenosis due to inoperable esophageal cancer was treated by self-expandable metallic stent (SEMS) and chemotherapy by CDDP and 5FU using durable portable infuser pump at an outpatient clinic. As a result, he could do oral intake for 264 days and survived 282 days after SEMS insertion. During treatments, both ends of the SEMS were narrowed by granulation tissue growth, and upper esophagus was restricted by intramural metastasis. However, both events were solved by balloon bouginage, argon plasma coagulation therapy and re-stenting of the SEMS. For the quality of life of the patient with inoperable advanced esophageal cancer, an early indication of SEMS and outpatient-clinic chemotherapy can be possible alternative against the conventional chemoradiotherapies with a sufficient informed consent. (author abst.)