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Follow-up study on symptom distress in esophageal cancer patients undergoing repeated dilation

World Journal of Clinical Cases 2020年第16期8卷 3503-3514页

作者： Li Liu Qian-Wen Liu Xiao-Dan Wu Shu-Yue Liu Hui-Jiao Cao Yu-Tong Hong Hui-Ying Qin Thoracic Department Sun Yat-sen University Cancer CenterGuangzhou 510060Guangdong ProvinceChina State Key Laboratory of Oncology in South China Collaborative Innovation Center for Cancer MedicineGuangzhou 510060Guangdong ProvinceChina Department of Endoscopy Sun Yat-sen University Cancer CenterGuangzhou 510060Guangdong ProvinceChina Department of Colorectal Surgery Sun Yat-sen University Cancer CenterGuangzhou 510060Guangdong ProvinceChina Hepatopancreatobiliary Surgery Department Sun Yat-sen University Cancer CenterGuangzhou 510060Guangdong ProvinceChina Traditional Chinese Medicine Department Sun Yat-sen University Cancer CenterGuangzhou 510060Guangdong ProvinceChina Department of Nursing Sun Yat-sen University Cancer CenterGuangzhou 510060Guangdong ProvinceChina

BACKGROUND Repeated endoscopic probe dilatation is the most preferred treatment for esophageal stenosis which may cause high levels of symptom distress in the patient’s home rehabilitation *** To explore the changes in the symptom distress level and its correlation with the dilation effect in patients with esophageal carcinoma undergoing repeated dilations for lumen *** The difference(R2-R1)between the diameter of the esophageal stenosis opening(R1)of the patients before dilation(R1)and after dilation(R2)was calculated to describe the extent and expansion of the esophageal stenosis before and after *** *** Symptom Inventory was used to describe the symptom distress level of patients with dilation intermittence during their stay at home and to explore the correlation between the dilation effect and symptom distress *** The diameter of the esophagus(R1)increased before each dilation in patients undergoing esophageal dilation(P0.05)with the other *** In patients who have undergone repeated dilations,better effect stands for lower symptom distress level and the increase in symptom distress has a prompt effect on the severity of the next occurrence of restenosis.

关键词： Esophageal carcinoma Dilation of esophageal stenosis Symptom distress Dilation effect lumen stenosis Repeated dilation

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