Self-Expanding Stents in Gastrointestinal Endoscopy

Douglas G. Adler, MD

Chapter 2: Esophageal Stents In Preoperative Esophageal Cancer Patients (continued)

Kathryn R. Byrne, MD; John C. Fang, MD; Douglas G. Adler, MD, FACG, AGAF, FASGE

The management of esophageal cancer patients with dysphagia presents many unique problems. Patients may already have malnutrition secondary to their catabolic state from malignancy and then patients with esophageal cancer also have further weight loss caused by malignant dysphagia from their obstructing tumor. Locally advanced cancer is extremely common at the time of presentation (Figure 2-1). The decision of which patients receive preoperative (neoadjuvant) therapy is somewhat dependent on the institution at which they receive treatment; however, most patients with locally advanced disease…
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