nach oben

Erschienen in:

02.01.2021 | Original Article

Outcomes of Combined Antegrade–Retrograde Dilations for Radiation-Induced Esophageal Strictures in Head and Neck Cancer Patients

verfasst von: Derek Liu, Trevor Pickering, Niels Kokot, Peter Crookes, Uttam K. Sinha, Mark S. Swanson

Erschienen in: Dysphagia | Ausgabe 6/2021

Abstract

The purpose of this study is to analyze outcomes of combined antegrade–retrograde dilations (CARD). This retrospective study was conducted on 14 patients with a history of head and neck cancer, treated with radiation therapy that was complicated by either complete or near-complete esophageal stenosis. All patients had minimal oral intake and depended on a gastrostomy tube for nutrition. Swallow function before and after CARD was assessed using the Functional Oral Intake Scale, originally developed for stroke patients and applied to head and neck cancer patients. Patients undergoing CARD demonstrated a quantifiable improvement in swallow function (p = 0.007) that persisted at last known follow-up (p = 0.015) but only a minority (23.1%) achieved oral intake sufficient to obviate the need for tube feeds. Complication rates were 24% per procedure or 36% per patient, almost all complications required procedural intervention, and all complications occurred in patients with complete stenosis. Our study suggests further caution when considering CARD, careful patient selection, and close post-operative monitoring.

Zugang erhalten Sie mit:

e.Med Interdisziplinär

Für Ihren Erfolg in Klinik und Praxis - Die beste Hilfe in Ihrem Arbeitsalltag

Mit e.Med Interdisziplinär erhalten Sie Zugang zu allen CME-Fortbildungen und Fachzeitschriften auf SpringerMedizin.de.

Jetzt gratis testen * Jetzt kaufen

Sie können e.Med Interdisziplinär 14 Tage kostenlos testen (keine Print-Zeitschrift enthalten). Der Test läuft automatisch und formlos aus. Es kann nur einmal getestet werden.

e.Med HNO

Kombi-Abonnement

Mit e.Med HNO erhalten Sie Zugang zu CME-Fortbildungen des Fachgebietes HNO, den Premium-Inhalten der HNO-Fachzeitschriften, inklusive einer gedruckten HNO-Zeitschrift Ihrer Wahl.

Jetzt testen ¹

Nur mit Berechtigung zugänglich

Society AC. Cancer facts & figures 2019. Atlanta. 2019.

Koyfman SA, Ismaila N, Holsinger FC. Management of the neck in squamous cell carcinoma of the oral cavity and oropharynx: ASCO clinical practice guideline summary. J Oncol Pract. 2019;15:273–8. https://doi.org/10.1200/JOP.18.00727. CrossRef

Quon H, Vapiwala N, Forastiere A, et al. Radiation therapy for oropharyngeal squamous cell carcinoma: American Society of Clinical Oncology endorsement of the American Society for Radiation Oncology evidence-based Clinical Practice guideline. J Clin Oncol. 2017;35:4078–90. https://doi.org/10.1200/JCO.2017.73.8633. CrossRefPubMed

Pauloski BR, Rademaker AW, Logemann JA, Colangelo LA. Speech and swallowing in irradiated and nonirradiated postsurgical oral cancer patients. Otolaryngol Head Neck Surg. 1998;118:616–24. https://doi.org/10.1016/S0194-5998(98)70230-X. CrossRefPubMed

Ahlberg A, Al-Abany M, Alevronta E, et al. Esophageal stricture after radiotherapy in patients with head and neck cancer: experience of a single institution over 2 treatment periods. Head Neck. 2009. https://doi.org/10.1002/hed.21201. CrossRef

Laurell G, Kraepelien T, Mavroidis P, et al. Stricture of the proximal esophagus in head and neck carcinoma patients after radiotherapy. Cancer. 2003;97:1693–700. https://doi.org/10.1002/cncr.11236. CrossRefPubMed

Scolapio JS, Pasha TM, Gostout CJ, et al. A randomized prospective study comparing rigid to balloon dilators for benign esophageal strictures and rings. Gastrointest Endosc. 1999;50:13–7. https://doi.org/10.1016/S0016-5107(99)70337-8. CrossRefPubMedPubMedCentral

Agarwalla A, Small AJ, Mendelson AH, et al. Risk of recurrent or refractory strictures and outcome of endoscopic dilation for radiation-induced esophageal strictures. https://doi.org/10.1007/s00464-014-3883-1.

Fowlkes J, Zald PB, Andersen P. Management of complete esophageal stricture after treatment of head and neck cancer using combined anterograde retrograde esophageal dilation. Head Neck. 2012;34:821–5. https://doi.org/10.1002/hed.21826. CrossRefPubMed

10.

Goguen LA, Norris CM, Jaklitsch MT, et al. Combined antegrade and retrograde esophageal dilation for head and neck cancer-related complete esophageal stenosis. Laryngoscope. 2010;120:261–6. https://doi.org/10.1002/lary.20727. CrossRefPubMed

11.

Dellon ES, Cullen NR, Madanick RD, et al. Outcomes of a combined antegrade and retrograde approach for dilatation of radiation-induced esophageal strictures (with video). Gastrointest Endosc. 2010;71:1122–9. https://doi.org/10.1016/j.gie.2009.12.057. CrossRefPubMedPubMedCentral

12.

Francis DO, Hall E, Dang JH, et al. Outcomes of serial dilation for high-grade radiation-related esophageal strictures in head and neck cancer patients. Laryngoscope. 2015;125:856–62. https://doi.org/10.1002/lary.24987. CrossRefPubMed

13.

Grooteman KV, Wong Kee Song LM, Vleggaar FP, et al. Functional outcome of patients treated for radiation-induced complete esophageal obstruction after successful endoscopic recanalization (with video). Gastrointest Endosc. 2014;80:175–81. https://doi.org/10.1016/j.gie.2014.03.007. CrossRefPubMed

14.

Gornals JB, Nogueira J, Castellvi JM, Guardiola J. Combined antegrade and retrograde esophageal endoscopic dilation for radiation-induced complete esophageal stenosis. Dig Endosc. 2012;24:483. https://doi.org/10.1111/j.1443-1661.2012.01342.x. CrossRefPubMed

15.

Bueno R, Swanson SJ, Jaklitsch MT, et al. Combined antegrade and retrograde dilation: a new endoscopic technique in the management of complex esophageal obstruction. Gastrointest Endosc. 2001;54:368–72. https://doi.org/10.1067/mge.2001.117517. CrossRefPubMed

16.

Crary MA, Carnaby Mann GD, Groher ME. Initial psychometric assessment of a functional oral intake scale for dysphagia in stroke patients. Arch Phys Med Rehabil. 2005;86:1516–20. https://doi.org/10.1016/j.apmr.2004.11.049. CrossRefPubMed

17.

Crary MA, Carnaby GD, Groher ME, Helseth E. Functional benefits of dysphagia therapy using adjunctive sEMG biofeedback. Dysphagia. 2004;19:160–4. https://doi.org/10.1007/s00455-004-0003-8. CrossRefPubMed

18.

Kotz T, Federman AD, Kao J, et al. Prophylactic swallowing exercises in patients with head and neck cancer undergoing chemoradiation: a randomized trial. Arch Otolaryngol Head Neck Surg. 2012;138:376–82. https://doi.org/10.1001/archoto.2012.187. CrossRefPubMed

19.

Harris PA, Taylor R, Thielke R, et al. Research electronic data capture (REDCap)—a metadata-driven methodology and workflow process for providing translational research informatics support. J Biomed Inform. 2009;42:377–81. https://doi.org/10.1016/j.jbi.2008.08.010. CrossRefPubMed

20.

Harris PA, Taylor R, Minor BL, et al. The REDCap consortium: building an international community of software platform partners. J Biomed Inform. 2019;95:103208. https://doi.org/10.1016/j.jbi.2019.103208. CrossRefPubMedPubMedCentral

21.

Sinha UK, Swanson MS, Villegas BC, et al. Outcomes of self-esophageal dilation for head and neck cancer patients. Am J Speech Lang Pathol. 2019;28:1060–6. https://doi.org/10.1044/2019_AJSLP-18-0190. CrossRefPubMed

22.

Nguyen NP, Moltz CC, Frank C, et al. Dysphagia following chemoradiation for locally advanced head and neck cancer. Ann Oncol. 2004;15:383–8. https://doi.org/10.1093/annonc/mdh101. CrossRefPubMed

23.

Chen AM, Li B-Q, Jennelle RLS, et al. Late esophageal toxicity after radiation therapy for head and neck cancer. Head Neck. 2009. https://doi.org/10.1002/hed.21164. CrossRefPubMedPubMedCentral

24.

Nguyen NP, Frank C, Moltz CC, et al. Impact of dysphagia on quality of life after treatment of head-and-neck cancer. Int J Radiat Oncol Biol Phys. 2005;61:772–8. https://doi.org/10.1016/j.ijrobp.2004.06.017. CrossRefPubMed

25.

Egan JV, Baron TH, Adler DG, et al. Esophageal dilation. Gastrointest Endosc. 2006;63:755–60. https://doi.org/10.1016/j.gie.2006.02.031. CrossRefPubMed

26.

Ahlawat SK, Al-Kawas FH. Endoscopic management of upper esophageal strictures after treatment of head and neck malignancy. Gastrointest Endosc. 2008;68:19–24. https://doi.org/10.1016/j.gie.2007.11.027. CrossRefPubMedPubMedCentral

27.

Hu HT, Shin JH, Kim JH, et al. Fluoroscopically guided balloon dilation for pharyngoesophageal stricture after radiation therapy in patients with head and neck cancer. Am J Roentgenol. 2010;194:1131–6. https://doi.org/10.2214/AJR.09.3345. CrossRef

28.

Petersen JF, Pézier TF, van Dieren JM, et al. Dilation after laryngectomy: incidence, risk factors and complications. Oral Oncol. 2019;91:107–12. https://doi.org/10.1016/j.oraloncology.2019.02.025. CrossRefPubMed

29.

Moss WJ, Pang J, Orosco RK, et al. Esophageal dilation in head and neck cancer patients: a systematic review and meta-analysis. Laryngoscope. 2018;128:111–7. https://doi.org/10.1002/lary.26618. CrossRefPubMed

30.

Harris RL, Grundy A, Odutoye T. Radiologically guided balloon dilatation of neopharyngeal strictures following total laryngectomy and pharyngolaryngectomy: 21 years’ experience. J Laryngol Otol. 2010;124:175–9. https://doi.org/10.1017/S0022215109991320. CrossRefPubMedPubMedCentral

31.

Williams LR, Kasir D, Penny S, et al. Radiological balloon dilatation of post-treatment benign pharyngeal strictures. J Laryngol Otol. 2009;123:1229–32. https://doi.org/10.1017/S0022215109990508. CrossRefPubMed

32.

Maejima R, Iijima K, Koike T, et al. Endoscopic balloon dilatation for pharyngo-upper esophageal stricture after treatment of head and neck cancer. Dig Endosc. 2015;27:310–6. https://doi.org/10.1111/den.12345. CrossRefPubMedPubMedCentral

Titel: Outcomes of Combined Antegrade–Retrograde Dilations for Radiation-Induced Esophageal Strictures in Head and Neck Cancer Patients
verfasst von: Derek Liu
Trevor Pickering
Niels Kokot
Peter Crookes
Uttam K. Sinha
Mark S. Swanson
Publikationsdatum: 02.01.2021
Verlag: Springer US
Erschienen in: Dysphagia / Ausgabe 6/2021
Print ISSN: 0179-051X
Elektronische ISSN: 1432-0460
DOI: https://doi.org/10.1007/s00455-020-10236-6

Neu im Fachgebiet HNO

16.05.2022 | COVID-19 | Nachrichten

Newsletter bestellen

Springer Medizin

Outcomes of Combined Antegrade–Retrograde Dilations for Radiation-Induced Esophageal Strictures in Head and Neck Cancer Patients

Abstract

e.Med HNO

Neu im Fachgebiet HNO

Intensivmedizinerin: „COVID ist nichts anderes als eine viral induzierte Sepsis“

Corona: Auch nach Booster schwindet Antikörperschutz schnell

Neue Leitlinie zur Präexpositionsprophylaxe von COVID-19

Aktinische Keratose: Welche Patienten entwickeln ein Plattenepithelkarzinom?

Newsletter

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

e.Med HNO

Weitere Artikel der Ausgabe 6/2021

Dual Tasking Influences Cough Reflex Outcomes in Adults with Parkinson’s Disease: A Controlled Study

A Comparative Analysis of Chewing Function and Feeding Behaviors in Children with Autism

Ultrasonographic Measurement of Masseter Muscle Thickness Associates with Oral Phase Dysphagia in Institutionalized Elderly Individuals

A Rare Syndrome Causing Neurogenic Dysphagia

Effectiveness of Chin Tuck on Laryngeal Penetration: Quantitative Assessment

Response to Letter to the Editor Regarding the Article Entitled “Treatment Effects for Dysphagia in Adults with Multiple Sclerosis: A Systematic Review”

Neu im Fachgebiet HNO

Intensivmedizinerin: „COVID ist nichts anderes als eine viral induzierte Sepsis“

Corona: Auch nach Booster schwindet Antikörperschutz schnell

Neue Leitlinie zur Präexpositionsprophylaxe von COVID-19

Aktinische Keratose: Welche Patienten entwickeln ein Plattenepithelkarzinom?

Newsletter