Application of percutaneous transesophageal gastro-tubing in palliative treatment of malignant bowel obstruction

Aragane, Hideki; Shimomura, Manabu; Inada, Satoshi; Katano, Tomoko; Yasui, Hitoshi; Kan, Keitaro; Shimizu, Masahiro

doi:10.2512/jspm.3.335

Cited by 2 publications

(2 citation statements)

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“…This device is capable of simultaneously reducing the pressure of gastrointestinal content and providing EN supplementation for all patients after PpPD surgery, with the aim of reducing gastrointestinal pressure on the pancreaticojejunostomy and reducing the incidence of postoperative complications by simultaneously providing EN. There are a number of reports on the efficacy of the W-ED tube, [16][17][18] but there are as yet no reports regarding its use after PpPD surgery.…”

Section: Discussionmentioning

confidence: 99%

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Efficacy of Enteral Nutrition by Double Elementary Diet Tube after Pylorus-Preserving Pancreatoduodenectomy

Sano

Chiba

Gunji

et al. 2019

The American Surgeon™

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Nutritional support after pylorus-preserving pancreaticoduodenectomy (PpPD) is still controversial. This study aimed to evaluate the efficacy of enteral nutrition (EN) via the double elementary diet (W-ED) tube after PpPD. One hundred two patients who received EN by the W-ED tube were compared with 52 patients who received total parental nutrition (TPN) previously. Clinicopatho-logical and postoperative features were analyzed among the two groups. Patients with EN by the W-ED tube after PpPD had a lower incidence of postoperative pancreatic fistula than those with TPN. The total protein and albumin levels on discharge in the EN group were significantly higher than those in the TPN group. In the case without complication, decreasing rate of the third lumbar vertebra skeletal muscle area was significantly lower in the EN group. In the cases of soft pancreas, drainage volume by the W-ED tube until four postoperative day was significantly larger in the case without postoperative pancreatic fistula. The W-ED tube offers the advantages of reducing gastrointestinal pressure and enabling reduction of complications after PpPD surgery.

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Section: Discussionmentioning

confidence: 99%

“…The W-ED tube has been used for postoperative nutrition after esophagectomy for malignant bowel obstruction due to recurrent gastric cancer and for the management of anastomotic leakage after esophagectomy. [16][17][18] The efficacy of nutrition and drainage using the W-ED tube has not been reported in perioperative management after PpPD.…”

mentioning

confidence: 99%