Overview
Neoplasm of the abdominal esophagus refers to malignant tumors arising in the lower segment of the esophagus, often presenting with dysphagia, weight loss, and potential visceral pain due to tumor progression. 1Diagnosis
Imaging studies (CT, MRI) to assess tumor extent and involvement 1
Endoscopy with biopsy for histopathological confirmation 1
Assessment of tumor staging using TNM classification 1
Evaluation of liver function and metastatic spread 1Management
First-line treatments: Neoadjuvant or adjuvant chemotherapy regimens (specific drugs not detailed in abstract) 1
Pain management: Splanchnic nerve blockade (SNB) for intractable pain relief 1
- Technique: Posterior transdiscal SNB guided by computed tomography 1
- Outcomes: Significant reduction in visual analog scores and opioid consumption 1
Supportive care: Nutritional support and symptom management (e.g., dysphagia) 1Special Populations
No specific data provided for pregnancy, pediatrics, elderly, or comorbidities in the given abstracts 1Key Recommendations
Consider splanchnic nerve blockade as an effective adjunctive treatment for managing intractable pain in patients with unresectable abdominal esophageal neoplasms (Evidence: Moderate) 1
Utilize imaging techniques such as CT and MRI for accurate staging and assessment of tumor extent (Evidence: Expert opinion) 1
Implement endoscopic biopsy for definitive histopathological diagnosis (Evidence: Expert opinion) 1References
1 Plancarte R, Guajardo-Rosas J, Reyes-Chiquete D, Chejne-Gómez F, Plancarte A, González-Buendía NI et al.. Management of chronic upper abdominal pain in cancer: transdiscal blockade of the splanchnic nerves. Regional anesthesia and pain medicine 2010. link