Comparison of Introducer Percutaneous Endoscopic Gastrostomy with Open Gastrostomy in Advanced Esophageal Cancer Patients

In esophageal cancer treatment, nutrition by feeding tube has been demonstrated to improve patient tolerance of treatment, quality of life, and long-term outcomes. The open gastrostomy and percutaneous endoscopic gastrostomy (PEG) using introducer technique are procedures that avoid cancer cells see...

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Bibliographic Details
Published in:Dysphagia 2020-02, Vol.35 (1), p.117-120
Main Authors: Mahawongkajit, Prasit, Techagumpuch, Ajjana, Limpavitayaporn, Palin, Kanlerd, Amonpon, Sriussadaporn, Ekkapak, Juntong, Jatupong, Tongyoo, Assanee, Mingmalairak, Chatchai
Format: Article
Language:English
Subjects:
Aged
Cancer
Cancer patients
Care and treatment
Comparative analysis
Endoscopy
Enteral feeding
Enteral Nutrition - methods
Esophageal cancer
Esophageal Neoplasms - surgery
Esophagus
Female
Gastroenterology
Gastroscopy - methods
Gastrostomy - methods
Health risk assessment
Hepatology
Humans
Imaging
Male
Medicine
Medicine & Public Health
Middle Aged
Nutritional status
Oncology, Experimental
Operative Time
Original Article
Ostomy
Otorhinolaryngology
Pain
Patients
Quality of life
Radiology
Retrospective Studies
Treatment Outcome
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Summary:In esophageal cancer treatment, nutrition by feeding tube has been demonstrated to improve patient tolerance of treatment, quality of life, and long-term outcomes. The open gastrostomy and percutaneous endoscopic gastrostomy (PEG) using introducer technique are procedures that avoid cancer cells seeding and also improve patient’s nutritional status, hydration, and medication. The aim of this study is to compare the results of the introducer PEG and open gastrostomy in patients with advanced esophageal cancer. A retrospective study was analyzed in the advanced esophageal cancer patients who indicated and received feeding support between January 2016 and December 2017. Twenty-eight patients in introducer PEG and 36 patients in open gastrostomy presented the following comparative data: mean operative duration time shorter, less pain score, and shorter hospitalization in introducer PEG than open gastrostomy. Both groups showed no readmission or 30-day mortality. The adverse events of open gastrostomy demonstrated higher than introducer PEG group. Both introducer PEG and open gastrostomy were the safe options for advanced esophageal cancer patients indicating for enteral feeding and to avoid cancer cell seeding but the introducer PEG demonstrated the effective minimally invasive procedure with fewer complications.
ISSN:0179-051X
1432-0460
DOI:10.1007/s00455-019-10017-w