Gradual tube dilation method before percutaneous endoscopic gastrostomy for obstructive esophageal cancer

Uesato, Masaya; Shuto, Kiyohiko; Kono, Toru; Akutsu, Yasunori; Hoshino, Isamu; Murakami, Kentarou; Ohta, Takumi; Shiratori, Tooru; Matsubara, Hisahiro

doi:10.1007/s10388-015-0500-x

Cited by 2 publications

(2 citation statements)

References 21 publications

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“…As preparation, the fistula of the gastrostoma must be expanded to make it large enough for the endoscope to pass through. We previously reported a gradual tube dilation method before PEG for obstructive esophageal cancer[ 9 ]. This is a safe method, because it does not involve sudden expansion.…”

Section: Discussionmentioning

confidence: 99%

Gastric endoscopic submucosal dissection via gastrostoma before the second operation for esophageal perforation: A case report

Sasaki

Uesato

Ohta

et al. 2018

WJGE

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A 69-year-old man with advanced esophageal cancer and 2 early gastric cancers received chemoradiotherapy and was scheduled to undergo subtotal esophagectomy after gastric endoscopic submucosal dissection (ESD). However, left lower esophageal perforation induced by vomiting suddenly occurred, and he urgently underwent esophago-proximal gastrectomy and gastrostomy without reconstruction. The resected specimen showed a complete response of pretreatment for the esophageal cancer and radical resection of one gastric cancer. Radical resection of the other gastric lesion was necessary before reconstruction. The fistula of gastrostoma was gradually dilated from 6.7 to 9.3 mm in order to pass the endoscope. At nine months after emergent operation, gastric ESD was performed via only the gastrostoma. A hemoclip with thread was attached to the specimen, and the thread was pulled out of the gastrostoma. The specimen was able to be removed en bloc, resulting in radical resection. Gastric tube reconstruction through the posterior sternal route was performed at six months after the ESD. He has not developed recurrence of the esophageal or gastric cancer in the two years since the emergent operation.

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Section: Discussionmentioning

confidence: 99%

Gastric endoscopic submucosal dissection via gastrostoma before the second operation for esophageal perforation: A case report

Sasaki

Uesato

Ohta

et al. 2018

WJGE

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“…However, several researchers [ 4 , 18 ] recommend that prior dilation to more than 12 mm or 7-8 mm in a single session and too-quick dilation be avoided. We experienced one fatal case due to esophageal perforation caused by 8 mm balloon dilation [ 19 , 20 ]. Therefore, we deemed expansion by a balloon unfavorable and did not always perform it with UF and NS stenting.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Efficacy of Self-Expandable Metallic Stent Placement in the Unresectable Esophageal Cancer Patients

Uesato

Akutsu

Murakami

et al. 2017

Gastroenterology Research and Practice

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This is a retrospective study to evaluate the prevention of complications of metallic stent placement in patients with unresectable advanced esophageal cancer. A total of 87 patients were treated with 4 types of metal stents in the esophagus over a period of 18 years. Stent placement was technically successful. The most common prior treatment was chemoradiotherapy. There were no significant differences in the rate of patients with no complications among the prior treatments. Approximately, 30% of patients had the most common chest pain in complications. Stent placement within one month after the completion of chemoradiotherapy should be avoided for the prevention of the chest pain. There was no significant difference in the rate of patients with no complications by lesion location. The rate of no complications was higher for the Niti-S stent than the Gianturco Z-stent or Ultraflex stent. Of note, no complications were noted for the Niti-S ultrathin stent at all. Among cases of stent-related death, the most common type of complication was respiratory disorder caused by the stent that seems to be thick and hard. Therefore, the stent with thin and flexible characteristics like the Niti-S ultrathin stent will solve the various problems of esophageal stent placement.

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Gradual tube dilation method before percutaneous endoscopic gastrostomy for obstructive esophageal cancer

Abstract: times between the patients with the GTD and those without the GTD (P = 0.360).Conclusions If patients with progressive esophageal cancer, such as OEC, need to undergo PEG, then the GTD is considered to be a useful modality for dilating the stenosis simply and safely.

Cited by 2 publications

References 21 publications

Gastric endoscopic submucosal dissection via gastrostoma before the second operation for esophageal perforation: A case report

Gastric endoscopic submucosal dissection via gastrostoma before the second operation for esophageal perforation: A case report

Comparison of Efficacy of Self-Expandable Metallic Stent Placement in the Unresectable Esophageal Cancer Patients

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