How do you manage acute esophagitis that persists > 1-2 months after completing chemoradiation for lung cancer?
2 Answers
Mednet Member
Radiation Oncology · Quillen VA Medical Center
Harsh protracted esophagitis was reported in 4% of Int. O139(1999)i.e., grade 4 regardless of once or twice daily cycle 1 concurrent. CONVERT reports 18% grade 3!or higher, either QD 66 or BID 45. No reports of > 1 mo duration. Consider endoscopy and culture. Empiric carafate and anti-fungal/candida...
Mednet Member
Radiation Oncology · Thomas Jefferson University Hospital
Sometimes herpes esophagitis can happen as a superinfection. Endoscopy is important to assess if there is an ulceration, so then intense anti-reflux medications and carafate can be prescribed.