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Published on: February 10, 2020
Rehabilitation in esophageal cancer
Raffaele Gimigliano1, Marianna Bertella, Francesca Gimigliano
1Dipartimento di Chirurgia Ortopedica, Traumatologica e Riabilitazione, Cattedra di Medicina Fisica e Riabilitazione, Seconda Università di Napoli.
Abstract:
Cancer of the esophagus has an unfavorable prognosis with a five-year survival rate after radical surgery of less than 10%; early diagnosis is difficult. The appearance of symptoms, particulary dysphagia, is due to more than 2/3 tumor involvement of the esophageal circumference, already present in 2/3 of patients at diagnosis. Symptoms can be local and/or systemic; they can be physical, psychic, iatrogenic and evolutive. A careful rehabilitation program should follow these patients during the entire course of their disease The rehabilitation approach intends to define areas of intervention, short-term goals, possible achievements, role of health operators and overall verifications. Common problems of patients with esophageal cancer, are analyzed. A rehabilitation program including the patient care throughout the hospitalization period to improve his/her autonomy with respect to his/her social and familial activities, is illustrated.
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