Percutaneous Gastrostomy Compared with Esophageal Stent Placement for the Treatment of Esophageal Cancer with Dysphagia

Wang, Tan; Wen, Qiuyue; Zhang, Yingqiang; Yuan, Jianpeng; Gao, Chongqing; Hu, Hongtao; Chen, Chengshi; Lin, Zheng; Li, Fangkun; Li, Yan; Li, Hailiang

doi:10.1016/j.jvir.2021.04.019

Cited by 8 publications

(4 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In case of bypass surgery, complications that frequently occurred in patients were suture insufficiency (42.7%), anastomotic leakage (8–40%), leakage in the remnant esophageal stump (15%), recurrent laryngeal nerve paralysis (11.8%), pneumonia (11.8%), abdominal abscess (11.8%), torsion of the gastric tube (5.9%), and surgical site infection (32%) [ 24 , 25 , 26 , 27 ]. Compared with open surgery, our method is mini-invasive, so post-operative complications, mortality, and hospitalization days are lower.…”

Section: Discussionmentioning

confidence: 99%

“…Several studies reported that the mean survival in the surgical gastrostomy group was 3–4 months; in the bypass group, it was 3–9.7 months; in the endoscopic gastrostomy group, it was 4–7 months; in palliative resection, it was 7.8–13 months; in (NdYaG) laser treatment, it was 7.2 months; and in the stent group, it was 2.9–6 months [ 24 , 25 , 27 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 ]. Regarding survival time, our results with laparogastroscopic procedure are encouraging and comparable to the above-mentioned methods.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Laparogastroscopy—A Transgastric Laparoscopic Approach for Malignant Esophageal Stenosis

et al. 2023

View full text Add to dashboard Cite

This paper presents the laparogastroscopy procedure, a mini-invasive, palliative method as an alternative to gastrostomy to be recommended by gastroenterologists. Laparogastroscopic stenting with endoluminal transtumoral drilling solves the problem of oral nutrition in patients with unresectable esophageal cancer, avoiding percutaneous feeding. The results of this technique are presented in a retrospective analysis of a study group of 63 patients with advanced esophageal carcinoma admitted between January 2015 and December 2020 at Department of General Surgery of Emergency County Hospital Sibiu, Romania, in terms of post-operative morbidity and mortality. The type of stents used were Pezzer prostheses (48.6%), silicone prostheses (31.9%), and self-expanding metal stents (6.9%). Eight patients (12.7%) had fistulas (at admission to the clinic), which were successfully sealed. Post-operative dysphagia was absent in most patients and minimal in 16.6% of patients, so all patients could initiate oral feeding, improving their nutritional status. The average length of hospitalization for all patients was 9.22 ± 5.05 days. The most frequent local complications were restenosis (9.5%), stent displacement (7.9%), and bleeding (4.8%). The mean survival time was 10.75 ± 15.72 months. Laparogastroscopic stenting could be a valuable alternative in palliative esophageal cancer surgery, improving the quality of life and nutritional status in patients unsuitable for endoscopic stenting.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Laparogastroscopy—A Transgastric Laparoscopic Approach for Malignant Esophageal Stenosis

et al. 2023

View full text Add to dashboard Cite

show abstract

“…PRG is characterized by an exceptionally high technical success rate and a low incidence of severe complications [ 1 , 2 ]. Moreover, for patients with swallowing difficulties due to esophageal obstruction, PRG has been shown to result in a better prognosis and fewer complications than metal stent implantation [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Safety and efficacy of stoma site selection in CT-guided percutaneous gastrostomy: a retrospective analysis

Chang-ming,

Xiao-mei,

et al. 2024

World J Surg Onc

View full text Add to dashboard Cite

Purpose To compare the safety and efficacy of CPG in the rectus abdominis and intercostal regions. Materials and methods This retrospective study included 226 patients who underwent CPG at a single center, with the stoma placed in the rectus abdominis or intercostal region. Surgical outcomes and complications, such as pain and infection within 6 months postoperatively, were recorded. Results The surgical success rate was 100%, and the all-cause mortality rate within 1 month was 0%. An intercostal stoma was placed in 56 patients; a rectus abdominis stoma was placed in 170 patients. The duration of surgery was longer for intercostal stoma placement (37.66 ± 14.63 min) than for rectus abdominis stoma placement (30.26 ± 12.40 min) (P = 0.000). At 1 month postsurgery, the rate of stoma infection was greater in the intercostal group (32.1%) than in the rectus abdominis group (20.6%), but the difference was not significant (P = 0.077). No significant difference was observed in the infection rate between the two groups at 3 or 6 months postsurgery (P > 0.05). Intercostal stoma patients reported higher pain scores during the perioperative period and at 1 month postsurgery (P = 0.000), but pain scores were similar between the two groups at 3 and 6 months postsurgery. The perioperative complication rates for intercostal and rectus abdominis surgery were 1.8% and 5.3%, respectively (P = 0.464), with no significant difference in the incidence of tube dislodgement (P = 0.514). Patient weight improved significantly at 3 and 6 months postoperatively compared to preoperatively (P < 0.05). Conclusion Rectus abdominis and intercostal stomas have similar safety and efficacy. However, intercostal stomas may result in greater short-term patient discomfort.

show abstract

“…PRG is characterized by an exceptionally high technical success rate and a low incidence of severe complications [1,2]. Moreover, for patients with swallowing di culties due to esophageal obstruction, PRG has been shown to yield a better prognosis and fewer complications than metal stent implantation [3].…”

Section: Introductionmentioning

confidence: 99%

Safety and Efficacy of Stoma Site Selection in CT-guided Percutaneous Gastrostomy: A Retrospective Analysis

Chang-ming,

Xiao-mei,

Liu

et al. 2023

Preprint

View full text Add to dashboard Cite

Purpose: To compare the safety and efficacy of CPG in the rectus abdominis and intercostal regions. Materials and Methods: This retrospective study included 226 patients who underwent CPG at a single center, with the stoma placed in the rectus abdominis or intercostal region. Surgical outcomes and complications, such as pain and infection within 6 months postoperatively, were recorded. Results: The surgical success rate was 100%, and the all-cause mortality rate within one month was 0%. An intercostal stoma was placed in 56 cases, while a rectus abdominis stoma was placed in 170 cases. The duration of surgery was longer for intercostal stoma placement (37.66 ± 14.63 min) than for rectus abdominis stoma placement (30.26 ± 12.40 min) (p=0.000). At one month postoperatively, the rate of stoma infection was higher in the intercostal group (32.1%) than in the rectus abdominis group (20.6%), but the difference was not significant (P=0.077). No significant difference was observed in the infection rate between the two groups at three or six months postoperatively (P>0.05). Intercostal stoma patients reported higher pain scores during the perioperative period and at one month postoperatively (P=0.000), but pain scores were similar in the two groups at three and six months postoperatively. The perioperative complication rate for intercostal and rectus abdominis surgery was 1.8% and 5.3%, respectively (P=0.464), with no significant difference in the incidence of tube dislodgement (P=0.514). Patient weight was significantly improved at three and six months postoperatively compared to preoperatively (P<0.05). Conclusion: Both rectus abdominis and intercostal stomas show similar levels of safety and efficacy. However, intercostal stomas may result in greater short-term patient discomfort.

show abstract

Percutaneous Gastrostomy Compared with Esophageal Stent Placement for the Treatment of Esophageal Cancer with Dysphagia

Cited by 8 publications

References 26 publications

Laparogastroscopy—A Transgastric Laparoscopic Approach for Malignant Esophageal Stenosis

Laparogastroscopy—A Transgastric Laparoscopic Approach for Malignant Esophageal Stenosis

Safety and efficacy of stoma site selection in CT-guided percutaneous gastrostomy: a retrospective analysis

Safety and Efficacy of Stoma Site Selection in CT-guided Percutaneous Gastrostomy: A Retrospective Analysis

Contact Info

Product

Resources

About