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Liquid Nitrogen Spray Cryotherapy for Dysphagia Palliation in Patients with Inoperable Esophageal Cancer by Toufic Kachaamy; Ravi Prakash; Madappa Kundranda; Raman Batish; Jeffrey Weber; Scott Hendrickson; Leon Yoder; Hannah Do; Theresa Magat; Rajeev Nayar; Digant Gupta; Trisha DaSilva; Ashish Sangal; Shivangi Kothari; Vivek Kaul; Pankaj Vashi is a Medicine article available to read on EtoBox.
What is Liquid Nitrogen Spray Cryotherapy for Dysphagia Palliation in Patients with Inoperable Esophageal Cancer about?
## Background and aims: Dysphagia is a debilitating symptom in patients with inoperable esophageal cancer that contributes to poor quality of life and worsening nutritional status. the 2 most commonly used palliative modalities for dysphagia are radiation therapy and esophageal stent placement. however, radiation therapy is limited by adverse events (aes) and total dose, and stent placement has a high rate of aes, including reflux, migration, and chest pain. a relatively new modality of liquid nitrogen endoscopic spray cryotherapy has been described as salvage when other options have been exhausted and when patients are no longer receiving systemic therapy. we evaluated the safety and efficacy of cryotherapy as the primary modality for relieving dysphagia in inoperable esophageal cancer including patients receiving systemic cancer therapy. ## Methods: This is a retrospective, multicenter, consecutive case series of 49 inoperable esophageal cancer patients undergoing palliative endoscopic cryotherapy at 4 specialized cancer centers from may 2014 to may 2016. the primary outcomes were change in dysphagia scores between pre- and postcryotherapy and aes. dysphagia was measured using a
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- Author
- Toufic Kachaamy; Ravi Prakash; Madappa Kundranda; Raman Batish; Jeffrey Weber; Scott Hendrickson; Leon Yoder; Hannah Do; Theresa Magat; Rajeev Nayar; Digant Gupta; Trisha DaSilva; Ashish Sangal; Shivangi Kothari; Vivek Kaul; Pankaj Vashi
- Publisher
- Elsevier Science; Elsevier ; Mosby Inc.; Elsevier BV (ISSN 1097-6779)
- Published
- 2018
- Language
- EN
- Field
- Medicine (Health Sciences)