difficulty swallowing due to esophageal cancer Dysphagia due to esophageal cancer
Conditions
Interventions
Patients will be randomized to either EBRT (5 fractions of 4 Gy each with
opposing fields in anterior-posterior direction) or SEMS insertion (partially
covered Niti-S S Esophageal Stent).
Sponsors
Erasmus MC, Universitair Medisch Centrum Rotterdam
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: Histologically proven esophageal cancer Patients with metastases or inoperable patients No curative treatment options available Dysphagia grade of * 2 Age * 18 years Written informed consent
Exclusion criteria
Exclusion criteria: Malignant extrinsic compression Previous stent placement Evidence of tumor within 2 cm of the upper esophageal sphincter Presence of an esophagotracheal and/or -bronchial fistula
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary outcome of this study will be *dysphagia response*, regarded as *1 grade reduction of the Dysphagia Scoring Scale (DSS). Assessment of primary outcome will be conducted at 4-weeks follow-up. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary study endpoints include: - Dysphagia response over time - Pain intensity - Major and minor complication rate - Quality of Life - Costs - Dysphagia free survival and overall survival | — |
Countries
Netherlands
Outcome results
None listed