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Year : 2018  |  Volume : 9  |  Issue : 2  |  Page : 61-65

A combination of self-expansile metallic stent and external beam radiotherapy in management of advanced esophageal carcinoma with grade iii dysphagia and beyond

1 Lokmanya Tilak Municipal Medical College and General Hospital, Sion, Mumbai, Maharashtra, India
2 Seven Hills, Andheri, Mumbai, Maharashtra, India
3 Rajiv Gandhi Cancer Institute, New Delhi, India

Correspondence Address:
Richa Patel
Lokmanya Tilak Municipal Medical College and General Hospital, Mumbai, Maharashtra
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jde.JDE_30_17

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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.

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