is there any special constraints for the esophagus with varices ?

[Kroll2013]

Dear colleagues,

would you consider any special constraints to the esophagus in a patient with secondary esophageal varices to portal hypertension? for example when treating a T3N+ subglottic squamous cell carcinoma with concomitant chemo-radiation.

Ty

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[ramsesthenice]

Dear colleagues,

would you consider any special constraints to the esophagus in a patient with secondary esophageal varices to portal hypertension? for example when treating a T3N+ subglottic squamous cell carcinoma with concomitant chemo-radiation.

Ty

Not really. If their varices are big enough your asking I’d be more worried about them having enough reserve to bounce back

 

[seper]

I don't. Bleeding varices are most common in the caudal portion of the esophagus, anyway.

 

[Radiator20]

Dear colleagues,

would you consider any special constraints to the esophagus in a patient with secondary esophageal varices to portal hypertension? for example when treating a T3N+ subglottic squamous cell carcinoma with concomitant chemo-radiation.

Ty

No.

 

[evilbooyaa]

Agree with others, that no I would not change my constraints for varices. Agree that most are thoracic or close to GEJ and likely out of your H&N RT field.