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World Journal of Surgery

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01-07-2017 | Surgical Symposium Contribution

Multidisciplinary Approach to the Management of Esophageal Malignancies

Authors: Ranjit Joseph, Shachar Laks, Michael Meyers, Autumn J. McRee

Published in: World Journal of Surgery | Issue 7/2017

Abstract

Introduction

A multidisciplinary approach in the management of complex malignancies is becoming more common, and likewise, adopting such an approach to the care of patients with locally advanced esophageal is recommended in order to optimize clinical outcomes.

Methods

In this review, we discuss both the surgical and medical oncology perspectives in the management of patients with locally advanced esophageal cancer. We review the data supporting the current standard-of-care approach, namely trimodality therapy with neoadjuvant chemo-radiotherapy followed by surgery. Other aspects of managing these patients including the control of dysphagia and pain as well as nutritional support are discussed. Finally, we review data that support the importance of incorporating a multidisciplinary streamlined approach in the management of these patients.

Results

Rather than having patients see each provider separately, a multidisciplinary approach to esophageal cancer allows for the seamless flow of communication and proactive management of the patient’s symptoms. These benefits include increasing the likelihood of evidence-based decision making, shorter time to treatment, and increased patient quality of life, all of which can result in improved patient outcomes.

Conclusion

The use of a multidisciplinary team can lead to a more accurate staging paradigm and thereby, better management decisions that translate to improved clinical outcomes. Therefore, optimizing the multidisciplinary approach for the care of patients with locally advanced esophageal cancer is essential for successful and individualized patient care.

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Title: Multidisciplinary Approach to the Management of Esophageal Malignancies
Authors: Ranjit Joseph
Shachar Laks
Michael Meyers
Autumn J. McRee
Publication date: 01-07-2017
Publisher: Springer International Publishing
Published in: World Journal of Surgery / Issue 7/2017
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI: https://doi.org/10.1007/s00268-017-4009-4

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Multidisciplinary Approach to the Management of Esophageal Malignancies

Abstract

Introduction

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction

Methods

Results

Conclusion

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