Department of Surgery, Jikei University School of Medicine, Tokyo, Japan
Department of Surgery, Jikei University School of Medicine, Tokyo, Japan.
Anticancer Res. 2019 Aug;39(8):4243-4248. doi: 10.21873/anticanres.13586.
BACKGROUND/AIM: This study aimed to clarify the benefits and disadvantages of percutaneous endoscopic gastrostomy (PEG) for patients with esophageal cancer (EC) during preoperative therapy.
We retrospectively reviewed 92 patients who underwent esophagectomy for EC after preoperative therapy. Patients were divided into the PEG group (n=14) and the control group (n=78) and compared regarding patient characteristics, nutritional status, operative variables, and postoperative complications.
In the PEG group first nutritional status and tumor stage were significantly worse, but changes of nutritional status from first visit to operation were significantly better. According to the intraoperative thermal imaging, there was no patient with blood flow disturbance in the gastric conduit due to PEG. Short-term surgical outcomes did not significantly differ.
PEG has less adverse effects on gastric tube production in esophagectomy and may be considered in highly selective patients during preoperative therapy.
背景/目的：本研究旨在阐明经皮内镜胃造口术（PEG）在术前治疗中对食管癌（EC）患者的益处和弊端。
我们回顾性分析了 92 例接受术前治疗后行食管癌切除术的患者。将患者分为 PEG 组（n=14）和对照组（n=78），比较两组患者的一般特征、营养状况、手术变量和术后并发症。
PEG 组患者的营养状况和肿瘤分期在首次就诊时明显较差，但从首次就诊到手术时的营养状况变化明显更好。根据术中热成像，PEG 并未导致胃管血流障碍。短期手术结果无显著差异。
PEG 对食管癌切除术的胃管制作的不良影响较小，在术前治疗中可考虑在高度选择的患者中使用。
