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Effect of Three Weeks of High-Intensity, Long-Term Preoperative Rehabilitation for Esophageal Cancer Patients with Stroke Sequelae Who Were Considered Unfit for Surgery Due to Low Activity: A Case Report

Treatment of esophageal cancer is based on tumor-node-metastasis (TNM) classification, and surgical treatment is chosen based on the patient’s ability to tolerate surgery. Surgical endurance partly depends on activity status, with performance status (PS) generally used as an indicator. This report d...

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Autores principales: Kinoshita, Tokio, Nishimura, Yukihide, Zaiki, Rikito, Yasuoka, Yoshinori, Umemoto, Yasunori, Koike, Yumi, Kawanishi, Makoto, Tajima, Fumihiro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10000851/
https://www.ncbi.nlm.nih.gov/pubmed/36900669
http://dx.doi.org/10.3390/healthcare11050665
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author Kinoshita, Tokio
Nishimura, Yukihide
Zaiki, Rikito
Yasuoka, Yoshinori
Umemoto, Yasunori
Koike, Yumi
Kawanishi, Makoto
Tajima, Fumihiro
author_facet Kinoshita, Tokio
Nishimura, Yukihide
Zaiki, Rikito
Yasuoka, Yoshinori
Umemoto, Yasunori
Koike, Yumi
Kawanishi, Makoto
Tajima, Fumihiro
author_sort Kinoshita, Tokio
collection PubMed
description Treatment of esophageal cancer is based on tumor-node-metastasis (TNM) classification, and surgical treatment is chosen based on the patient’s ability to tolerate surgery. Surgical endurance partly depends on activity status, with performance status (PS) generally used as an indicator. This report describes a 72-year-old man with lower esophageal cancer and an 8-year history of severe left hemiplegia. He had sequelae of cerebral infarction and a TNM classification of T3, N1, and M0, and was judged ineligible for surgery because his PS was grade three; he underwent preoperative rehabilitation with hospitalization for 3 weeks. He had been able to walk with a cane in the past, but once he was diagnosed with esophageal cancer, he began using a wheelchair and was dependent on assistance from his family in his daily life. Rehabilitation consisted of strength training, aerobic exercise, gait training, and activities of daily living (ADL) training for 5 h a day, according to the patient’s condition. After 3 weeks of rehabilitation, his ADL ability and PS improved sufficiently for surgical indication. No complications occurred postoperatively, and he was discharged when his ADL ability was higher than that before preoperative rehabilitation. This case provides valuable information for the rehabilitation of patients with inactive esophageal cancer.
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spelling pubmed-100008512023-03-11 Effect of Three Weeks of High-Intensity, Long-Term Preoperative Rehabilitation for Esophageal Cancer Patients with Stroke Sequelae Who Were Considered Unfit for Surgery Due to Low Activity: A Case Report Kinoshita, Tokio Nishimura, Yukihide Zaiki, Rikito Yasuoka, Yoshinori Umemoto, Yasunori Koike, Yumi Kawanishi, Makoto Tajima, Fumihiro Healthcare (Basel) Case Report Treatment of esophageal cancer is based on tumor-node-metastasis (TNM) classification, and surgical treatment is chosen based on the patient’s ability to tolerate surgery. Surgical endurance partly depends on activity status, with performance status (PS) generally used as an indicator. This report describes a 72-year-old man with lower esophageal cancer and an 8-year history of severe left hemiplegia. He had sequelae of cerebral infarction and a TNM classification of T3, N1, and M0, and was judged ineligible for surgery because his PS was grade three; he underwent preoperative rehabilitation with hospitalization for 3 weeks. He had been able to walk with a cane in the past, but once he was diagnosed with esophageal cancer, he began using a wheelchair and was dependent on assistance from his family in his daily life. Rehabilitation consisted of strength training, aerobic exercise, gait training, and activities of daily living (ADL) training for 5 h a day, according to the patient’s condition. After 3 weeks of rehabilitation, his ADL ability and PS improved sufficiently for surgical indication. No complications occurred postoperatively, and he was discharged when his ADL ability was higher than that before preoperative rehabilitation. This case provides valuable information for the rehabilitation of patients with inactive esophageal cancer. MDPI 2023-02-24 /pmc/articles/PMC10000851/ /pubmed/36900669 http://dx.doi.org/10.3390/healthcare11050665 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Case Report
Kinoshita, Tokio
Nishimura, Yukihide
Zaiki, Rikito
Yasuoka, Yoshinori
Umemoto, Yasunori
Koike, Yumi
Kawanishi, Makoto
Tajima, Fumihiro
Effect of Three Weeks of High-Intensity, Long-Term Preoperative Rehabilitation for Esophageal Cancer Patients with Stroke Sequelae Who Were Considered Unfit for Surgery Due to Low Activity: A Case Report
title Effect of Three Weeks of High-Intensity, Long-Term Preoperative Rehabilitation for Esophageal Cancer Patients with Stroke Sequelae Who Were Considered Unfit for Surgery Due to Low Activity: A Case Report
title_full Effect of Three Weeks of High-Intensity, Long-Term Preoperative Rehabilitation for Esophageal Cancer Patients with Stroke Sequelae Who Were Considered Unfit for Surgery Due to Low Activity: A Case Report
title_fullStr Effect of Three Weeks of High-Intensity, Long-Term Preoperative Rehabilitation for Esophageal Cancer Patients with Stroke Sequelae Who Were Considered Unfit for Surgery Due to Low Activity: A Case Report
title_full_unstemmed Effect of Three Weeks of High-Intensity, Long-Term Preoperative Rehabilitation for Esophageal Cancer Patients with Stroke Sequelae Who Were Considered Unfit for Surgery Due to Low Activity: A Case Report
title_short Effect of Three Weeks of High-Intensity, Long-Term Preoperative Rehabilitation for Esophageal Cancer Patients with Stroke Sequelae Who Were Considered Unfit for Surgery Due to Low Activity: A Case Report
title_sort effect of three weeks of high-intensity, long-term preoperative rehabilitation for esophageal cancer patients with stroke sequelae who were considered unfit for surgery due to low activity: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10000851/
https://www.ncbi.nlm.nih.gov/pubmed/36900669
http://dx.doi.org/10.3390/healthcare11050665
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