What is your first line strategy in managing acute esophagitis during thoracic RT?

Zombie Question (dead thread reanimated by theMednet)!!! The amount of esophagitis that I see in practice has really diminished over the course of my long, graying career. If you ever wanted to see a horrific esophagitis, treat a Turrisi regimen to those volumes. 60% of patients got Grade 2+ esophag...

Diflucan 150 mg po weekly will make a big difference.

We typically begin with an institutional formulation (xyloxylin) that is similar to magic mouthwash. If that is not sufficient (and it frequently is not) then we begin narcotics, typically hydrocodone/APAP. If the patient is maximizing this regimen and taking it around the clock, then we treat with ...

We routinely offer patients amifostine (500 mg sc) prior to each fraction of RT (on non-chemotherapy days) as a method of prophylaxis. Our series suggests a postponement in the development of esophagitis (measured as initiation of opiate use) in patients treated using the cytoprotectant. Once the es...