The Indonesian Journal of Gastroenterology, Hepatology and Digestive Endoscopy
Vol 16, No 2 (2015): VOLUME 16, NUMBER 2, August 2015

Palliative Stenting With or Without Radiotherapy for Inoperable Esophageal Carcinoma

Yaldiera Utami (Department of Internal Medicine, Faculty of Medicine, University of Indonesia/ Dr. Cipto Mangunkusumo General National Hospital, Jakarta)
Achmad Fauzi (Division of Gastroenterology, Department of Internal Medicine, Faculty of Medicine, University of Indonesia/ Dr. Cipto Mangunkusumo General National Hospital, Jakarta)



Article Info

Publish Date
01 Aug 2015

Abstract

Aim: to evaluate the comparison of palliative treatment using esophageal stenting alone or in combination with radiotherapy.Method: Patient/problem, intervention, comparison, and outcome (PICO) system were used. We conduct a searching in PubMed site. The next process was selection by reading all articles (10 articles). There were 9 articles excluded from analysis. We finally choose one randomized trial study written by Javed A, Pal S, Dash NR, Ahuja V, Mohanti BK, Vishnubhatla S, et al goes to the critical appraisal step.Results: The result of this study showed that dysphagia scores improved significantly in both groups, in patients with inoperable esophageal cancer treated with esophageal stenting alone (group I) and a combination of esophageal stenting and radiotherapy (group II) following stent insertion. However, dysphagia relief was more sustained in Group II than in Group I (7 vs. 3 months, p = 0.002).Conclusion: In this evidence-based case report (EBCR), we reported a man who suffered from dysphagia caused by inoperable esophageal carcinoma. Based on the critical appraisal of the randomized trial collected previously from PubMed with specific criterias, we conclude that a combination of esophageal stent and radiotherapy effectively prolongs duration of dysphagia relief and improves the overall survival, without increasing the incidence of complications.

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Journal Info

Abbrev

jghe

Publisher

Subject

Medicine & Pharmacology

Description

The Indonesian Journal of Gastroenterology, Hepatology and Digestive Endoscopy is an academic journal which has been published since 2000 and owned by 3 Societies: The Indonesian Society of Gastroenterology; Indonesian Association for the Study of the Liver; The Indonesian Society for Digestive ...