Esophageal squamous cell carcinoma generally occurs in elderly males with smoking and drinking habits; respiratory and cardiovascular comorbidities associated with these habits are common. Esophagectomy is one of the most… Click to show full abstract
Esophageal squamous cell carcinoma generally occurs in elderly males with smoking and drinking habits; respiratory and cardiovascular comorbidities associated with these habits are common. Esophagectomy is one of the most invasive gastroenterological surgeries and is correlated with great decreases in physical function after surgery. Reductions in dietary intake and subsequent decreases in muscle mass often adversely affect daily living activities. Recurrent laryngeal nerve palsy, anastomotic stenosis, and reduced swallowing functionality increase the risk of aspiration. Additionally, postesophagectomy mental instability can also adversely affect patients requiring subsequent cancer treatments. Thus, key persons who offer physical, nutritional, mental, and financial support, and who play key roles in cancer treatment decision making after surgery are very important for patients who have undergone esophagectomy. However, to date, no studies have elucidated the importance of key persons on long-term outcomes after esophagectomy. PRESENT
               
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