Esophagectomy in patients with prior percutaneous endoscopic gastrostomy tube placement - 01/03/14
, Sarah M. Foster, M.D. a, b, Mathew H. Chung, M.D. a, b, cAbstract |
Background |
The impact of preoperative percutaneous endoscopic gastrostomy (PEG) tube placement in patients undergoing esophagectomy is uncertain.
Methods |
A retrospective review was performed in consecutive patients who underwent esophagectomy. Patients were divided into groups based on whether or not they had preoperative PEG placement.
Results |
One hundred seventeen patients were studied, 102 without (PEG−) and 15 with PEG+ before PEG tube placement. The overall morbidity and mortality rates were 38% and 3%, respectively. The use of a gastric conduit was similar between groups (94% PEG− vs 87% PEG+, P = .27), and the presence of a PEG before PEG tube placement was not prohibitive in any case. Anastomotic leak rates were similar between groups (11% PEG− vs 15% PEG+, P = .65), and there were no leaks from previous PEG sites.
Conclusion |
It appears that preoperative PEG tube placement has no adverse effect on the performance of esophagectomy and may be considered in highly selected patients with poor nutritional status.
Le texte complet de cet article est disponible en PDF.Keywords : Esophagectomy, Gastrostomy tube, Anastomotic leak, Esophageal cancer, Percutaneous endoscopic gastrostomy
Plan
| There were no relevant financial relationships or any sources of support in the form of grants, equipment, or drugs. |
|
| The authors declare no conflicts of interest. |
Vol 207 - N° 3
P. 361-365 - mars 2014 Retour au numéro
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