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Double Percutaneous Transesophageal Gastrotubing for Gastric Cancer: A Pilot Study
Ryota Iwase1, Yutaka Suzuki2, Eigoro Yamanouchi3
1Department of Surgery, International University of Health and Welfare Hospital, Tochigi, Japan; Department of Surgery, The Jikei University School of Medicine, Tokyo, Japan.
The Journal of Surgical Research
|November 23, 2018
Summary
Double percutaneous transesophageal gastrotubing (dPTEG) offers a safe and effective method for managing gastric outlet obstruction in gastric cancer patients. This technique simultaneously decompresses the stomach and provides enteral nutrition, improving patient outcomes.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Interventional Endoscopy
Background:
- Gastric outlet obstruction and dilatation in gastric cancer necessitate stomach decompression and nutritional support.
- Percutaneous transesophageal gastrotubing (PTEG) is established for either decompression or enteral nutrition.
- The efficacy of simultaneous dual-purpose PTEG (dPTEG) for gastric cancer remains to be fully elucidated.
Purpose of the Study:
- To evaluate the safety and efficacy of double percutaneous transesophageal gastrotubing (dPTEG) in patients with gastric outlet obstruction due to gastric cancer.
- To assess the combined benefits of gastric decompression and enteral nutrition via dPTEG.
Main Methods:
- A prospective study involving 11 gastric cancer patients with gastric outlet obstruction.
- All patients underwent dPTEG for simultaneous gastric decompression and enteral nutrition.
- Data on procedure success, adverse events, decompression efficacy, and nutritional status were collected.
Main Results:
- dPTEG was successfully performed in all 11 patients with no critical adverse events.
- Gastric decompression was achieved, and nutritional status significantly improved in all patients.
- Eight patients proceeded to radical or palliative gastric resection.
Conclusions:
- Double percutaneous transesophageal gastrotubing (dPTEG) is a safe and effective management strategy for gastric outlet obstruction and dilatation in gastric cancer.
- dPTEG facilitates simultaneous decompression and nutritional support, improving patient condition prior to surgery.
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