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©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
Follow-up study on symptom distress in esophageal cancer patients undergoing repeated dilation
Li Liu, Qian-Wen Liu, Xiao-Dan Wu, Shu-Yue Liu, Hui-Jiao Cao, Yu-Tong Hong, Hui-Ying Qin
Li Liu, Yu-Tong Hong, Thoracic Department, Sun Yat-sen University Cancer Center, Guangzhou 510060, Guangdong Province, China
Li Liu, Qian-Wen Liu, Xiao-Dan Wu, Shu-Yue Liu, Hui-Jiao Cao, Yu-Tong Hong, Hui-Ying Qin, State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Guangzhou 510060, Guangdong Province, China
Qian-Wen Liu, Department of Endoscopy, Sun Yat-sen University Cancer Center, Guangzhou 510060, Guangdong Province, China
Xiao-Dan Wu, Department of Colorectal Surgery, Sun Yat-sen University Cancer Center, Guangzhou 510060, Guangdong Province, China
Shu-Yue Liu, Hepatopancreatobiliary Surgery Department, Sun Yat-sen University Cancer Center, Guangzhou 510060, Guangdong Province, China
Hui-Jiao Cao, Traditional Chinese Medicine Department, Sun Yat-sen University Cancer Center, Guangzhou 510060, Guangdong Province, China
Hui-Ying Qin, Department of Nursing, Sun Yat-sen University Cancer Center, Guangzhou 510060, Guangdong Province, China
Author contributions: Liu L and Liu QW contributed equally to this work; Liu L, Liu QW, and Qin HY contributed to the conception and design of the study; Wu XD and Hong YT contributed to the administrative support; Liu QW, Liu L, and Qin HY contributed to the provision of study materials or patients; Liu SY, Hong YT, and Cao HJ contributed to the collection and assembly of data; Liu L and Wu XD contributed to the data analysis and interpretation; all authors contributed to the writing and final approval of the manuscript.
Supported by Natural Science Foundation of Guangdong Province of China, No. 2017A030313449; and Science and Technology Planning Project of Guangdong Province of China, No. A2018057.
Institutional review board statement: The Institutional Review Board of Sun Yat-sen University Cancer Center provided approval for this study (GYX2018-010).
Informed consent statement: All study participant provided informed written consent.
Conflict-of-interest statement: The authors declare no conflicts of interest.
Data sharing statement: No additional data are available.
STROBE statement: The authors have read the STROBE Statement – checklist of items, and the manuscript was prepared and revised according to the STROBE Statement – checklist of items.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Hui-Ying Qin, MNurs, Chief Nurse, Head, Department of Nursing, Sun Yat-sen University Cancer Center, No. 651 Dongfeng East Road, Guangzhou 510060, Guangdong Province, China. qinhy@sysucc.org.cn
Received: May 8, 2020
Peer-review started: May 8, 2020
First decision: June 2, 2020
Revised: June 3, 2020
Accepted: July 14, 2020
Article in press: July 14, 2020
Published online: August 26, 2020
ARTICLE HIGHLIGHTS
Research background
There are many research studies on symptom distress in tumor patients at home and abroad, but for esophageal carcinoma patients who need repeated esophageal dilation, the symptom distress levels and changes have not been mentioned in any research studies.
Research motivation
The results can be used as a basis for symptom management.
Research objectives
This study aimed to investigate the changes in the esophageal diameter and symptom distress level in patients during the interval of dilation as the number of dilations increases to explore the dilation effect and its correlation with symptom distress level.
Research methods
The difference between the diameter of the esophageal stenosis opening of the patients before dilation and the diameter of the esophageal stenosis opening after dilation was calculated to describe the extent and expansion of the esophageal stenosis before and after dilation.
Research results
The diameter of the esophagus (R1) increased before each dilation in patients undergoing esophageal dilation. The diameter (R2) increased after dilation, and the dilation effect (R2-R1) decreased with the number of dilations. The total symptom distress score increased with the number of dilations, and the difference was statistically significant. After the 1st to 4th dilations, the patient's symptom distress score was negatively correlated with the esophageal diameter (R12) before the next dilation, while there was no significant correlation with the other dilations.
Research conclusions
For esophageal carcinoma patients who have undergone repeated dilation of esophageal stenosis, the dilation effect and the diameter of the esophagus after dilation are closely related to the degree of symptom distress during the patient's stay at home.
