[Feasibility of FP Therapy in Outpatient Setting for Inoperable Recurrent Esophageal Cancer].

Q4 Medicine Japanese Journal of Cancer and Chemotherapy Pub Date : 2024-09-01
Ryuichi Morita, Takeshi Ishikawa, Toshifumi Doi, Junichiro Itani, Daiki Sone, Naoto Iwai, Ryohei Hirose, Ken Inoue, Osamu Dohi, Akito Harusato, Naohisa Yoshida, Kazuhiko Uchiyama, Hirotaka Konishi, Atsushi Shiozaki, Hitoshi Fujiwara, Tomohisa Takagi, Hideyuki Konishi, Yoshito Itoh
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Abstract

With the emergence of immune checkpoint inhibitors(ICIs)in recent years, the treatment outcomes for unresectable recurrent esophageal cancer have improved markedly. In 5-FU+cisplatin(FP)first-line therapy, 5-FU administration takes 5 days and generally requires hospitalization. However, frequent hospitalization for treatment is a crucial issue that must be resolved in terms of time investment and optimal use of hospital resources. Here, we evaluated the safety and potential adverse effects of the administration of FP therapy in an outpatient setting. After central venous ports were placed in 5 patients, cisplatin was administered using a short hydration method and 5-FU was infused for 120 hours using an infusion pump. No crucial adverse events or major pump-related problems occurred, suggesting the feasibility of this treatment in an outpatient setting. However, the duration of 5-FU administration via the pump varied more than the expected deviation (10%, 12 hours), indicating that the issues require further consideration.

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[FP疗法在门诊治疗无法手术的复发性食管癌的可行性]。
近年来,随着免疫检查点抑制剂(ICIs)的出现,无法切除的复发性食管癌的治疗效果明显改善。在 5-FU+ 顺铂(FP)一线治疗中,5-FU 给药需要 5 天,一般需要住院。然而,频繁住院治疗在时间投入和医院资源优化利用方面是一个必须解决的关键问题。在此,我们评估了在门诊环境下进行 FP 治疗的安全性和潜在不良反应。在为 5 名患者置入中心静脉端口后,采用短时间水化法给予顺铂,并使用输液泵输注 5-FU 120 小时。没有发生严重的不良事件或与泵相关的重大问题,这表明在门诊环境中进行这种治疗是可行的。然而,通过输液泵输注 5-FU 的持续时间差异超过了预期偏差(10%,12 小时),这表明需要进一步考虑这些问题。
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