Esophageal intraluminal stents with ^125I seeds for advanced esophageal cancer
LI Cai-li, LIU Yue, SUN Ze-qun, DONG Yuan, LIU Yong, LIU Ying, WANG Bin
Published 2011-06-20
Cite as Chin J Dig Endosc, 2011,28(06): 301-304. DOI: 10.3760/cma.j.issn.1007-5232.2011.06.001
Abstract
Objective To evaluate the therapeutic effect of esophageal intraluminal stents with ^125I seeds based on survival time and quality of life (QOL) of patients with advanced esophageal cancer. Methods A total of 37 patients with advanced esophageal cancer who underwent placement of esophageal ^125I irradiation stent were followed up. The QOL was evaluated by QLQ-C30 and QLQ-OES18 questionnaires before the procedure, and I week and 3 months after. Results The mean survival time of 37 patients was 28 weeks, with 3-month and 6-month survival rates at 94. 6% (35/37) and 51.4% (19/37), respectively. Compared with the baseline, the scores of emotional functioning (EF) , cognitive functioning (CF) , global quality of life(QL), fatigue( FA), pain( PA), financial difficulties(FI) and pain of QLQ-OES18 (OESPA) assessed 1 week after stent placement increased ( P 〈 0. 05 ) significantly and dysphapia of QLQ-OES18 ( OESDYS), eating of QLQ-OES18 ( OESEAT), trouble swallowing saliva of QLQ-OES18 ( OESSV ) and choked when swallowing of QLQ-OES18 (OESCH) decreased significantly ( P 〈 0. 05 ). At 3 months after stent placement, the scores of FI increased significantly ( P 〈 0. 05 ) , and those of nausea or vomiting (NV) , OESDYS, OESEAT, OESSV and OESCH decreased significantly ( P 〈 0.05 ). The scores of FI,OESDYS, OESCH, role functioning(RF), EF, CF, FA and OESPA at 3 months were significantly different from those at 1 week after the procedure (P 〈 0. 05 ). Other variables at 1 week and 3 months after the pro- cedure were not different from those before (P 〉 0. 05 ). Conclusion Implantation of ^125I seeds combined with esophageal intraluminal stents may prolong survival time and improve QOL of patients with advanced esophageal cancer.
Key words:
Quality of life; Advanced esophageal cancer; Esophageal stent; Intraluminal irradiation
Contributor Information
LI Cai-li
Institute of Esophageal Neoplasms, Shiyan Renmin Hospitol of Hubei Medical College, Shiyan 442000, China
LIU Yue
SUN Ze-qun
DONG Yuan
LIU Yong
LIU Ying
WANG Bin