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Topics: Head and Neck Cancers • Radiation Oncology • Gastrointestinal Cancers • Medical Oncology

How soon after ChemoRT for a head and neck cancer can you safely initiate esophageal dilation?  



Answer from: Radiation Oncologist at Academic Institution
I don’t know of an agreed upon time interval. I would allow for resolution of acute effects, probably 2-3 months.
Comments
Radiation Oncologist at Toledo Clinic Inc.
Thank you.
Radiation Oncologist at Beaumont Health System
I agree. We have a similar recommended interval fo...
Radiation Oncologist at Banner MD Anderson Cancer Center
I agree with Dr. Mendenhall.  However, there ...
Radiation Oncologist at St. Joseph Cancer Center
What dose constraints do you use for the pharyngea...
Radiation Oncologist at Toledo Clinic Inc.
Some good points.
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Answer from: Radiation Oncologist at Academic Institution
Interesting, I think that we saw fewer before gastrostomy tubes and whole neck IMRT
Comments
Radiation Oncologist at University of Florida
We are treating more hypopharnx and cervical esoph...
Radiation Oncologist at Banner MD Anderson Cancer Center
We use a mean dose of 50 Gy to the constrictors co...
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Answer from: Radiation Oncologist at Academic Institution
Esophageal strictures are usually a late complication of head and neck radiation. Therefore, esophageal dilation can be done as needed. If there is need for dilation shortly after chemoradiation for head and neck cancer (for an unrelated esophageal stricture) - this may be done soon after the p...
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