CC BY-NC-ND 4.0 · Journal of Digestive Endoscopy 2018; 09(02): 061-065
DOI: 10.4103/jde.JDE_30_17
Original Article
Society of Gastrointestinal Endoscopy of India

A Combination of Self‑Expansile Metallic Stent and External Beam Radiotherapy in Management of Advanced Esophageal Carcinoma with Grade III Dysphagia and Beyond

Mohan Joshi
Lokmanya Tilak Municipal Medical College and General Hospital, Sion, India
,
Minakshi Gadahire
Lokmanya Tilak Municipal Medical College and General Hospital, Sion, India
,
Ashwini Paranjape
1  Seven Hills, Andheri, Mumbai, Maharashtra, India
,
Ranjeet Kamble
1  Seven Hills, Andheri, Mumbai, Maharashtra, India
,
Vishwajeet Pawar
Lokmanya Tilak Municipal Medical College and General Hospital, Sion, India
,
Khurshid Ansari
1  Seven Hills, Andheri, Mumbai, Maharashtra, India
,
Ankita Jain
2  Rajiv Gandhi Cancer Institute, New Delhi, India
,
Richa Patel
Lokmanya Tilak Municipal Medical College and General Hospital, Sion, India
› Author Affiliations
Further Information

Publication History

Publication Date:
24 September 2019 (online)

  

ABSTRACT

Background and Objectives: Most of the patients of Esophageal Malignancy present in advanced stage. These patients receive palliative treatment. We wanted to evaluate whether combination of SEMS and RT improves the grade of dysphagia. Methods: 165 patients diagnosed with Advanced Esophageal Malignancy in middle third of Esophagus with grade III dysphagia were enrolled for the study. Demographic data, grade of dysphagia, improvement in the grade of dysphagia, complications and survival were studied. Follow up was done for a period of 1 year. Results: All patients grade of dysphagia improved from grade III- IV to grade I-II. One patient had stent migration. Thirty patients died in one year Followup. Conclusion: SEMS along with RT may provide survival benefit in advanced Esophageal Malignancy.