A Case of Inoperable Advanced Esophageal Cancer Possibly Preserved Quality of Life by Outpatient-clinic Treatments with Double Stenting and Continuous Chemotherapy

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A 71-year-old man presenting lower esophageal stenosis due to inoperable esophageal cancer was treated by self-expandable metallic stent(SEMS)and chemotherapy by CDDP and 5FU using durable portable infuser pump at an outpatient clinic. As a result, he could do oral intake far 264 days and survived 282 days after SEMS insertion. wring treatments, bath ends of the SEMS were narrowed by granulation tissue growth, and upper esophagus was restrictedby intramural metastasis. However, both events were solved by balloon bouginage, argon plasma coagulation therapy and re-stenting of the SEMS. For the quality of life of the patient with inoperable advanced esophageal cancer, an early indication of SEMS and outpatient-clinic chemotherapy can he possihie alternative against the eonventienal chemoradiotherapies with a sufficient informed consent.
社団法人日本消化器内視鏡学会の論文