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

• 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
• ISSN: 0179-051X; 1432-0460
• DOI: 10.1007/s00455-019-10017-w

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.