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Does prior percutaneous endoscopic gastrostomy alter post-operative outcome after esophagectomy
- Source :
- World journal of surgery. 39(2)
- Publication Year :
- 2014
-
Abstract
- With the introduction of neoadjuvant chemoradiotherapy in patients with esophageal carcinoma, nutritional access has become essential to counter deleterious effects of dysphagia. Current NCCN guidelines do not recommend PEG prior to esophagectomy in these patients, but there is little evidence for this recommendation. The objective of this study was to compare outcomes in patients who underwent esophagectomy with or without prior PEG placement. We retrospectively reviewed 96 patients who underwent esophagectomy between 2005 and 2012 for esophageal carcinoma. Patients were divided into two groups; Group I (PEG +ve) and Group II (PEG −ve). Patient characteristics, operative variables, and post-operative complications were compared. χ 2 and Fisher’s test were used for categorical, while t test was used for interval variables. Median age was 51(18–70) years. Lower thoracic tumors were more common in Group I (69 vs. 63 %) (P = 0.04) and more patients underwent minimally invasive surgery in this group (50 vs. 2.6 %) (P
- Subjects :
- Adult
Male
medicine.medical_specialty
Adolescent
Critical Care
Esophageal Neoplasms
medicine.medical_treatment
Blood Loss, Surgical
Anastomotic Leak
Constriction, Pathologic
Anastomosis
Adenocarcinoma
Preoperative care
Gastroenterology
Stomach surgery
Young Adult
Internal medicine
Percutaneous endoscopic gastrostomy
Preoperative Care
Medicine
Humans
Minimally Invasive Surgical Procedures
Postoperative Period
Aged
Retrospective Studies
Gastrostomy
business.industry
Anastomosis, Surgical
Stomach
Length of Stay
Middle Aged
Dysphagia
Surgery
Esophagectomy
Treatment Outcome
Cardiothoracic surgery
Esophagoplasty
Carcinoma, Squamous Cell
Female
medicine.symptom
business
Abdominal surgery
Subjects
Details
- ISSN :
- 14322323
- Volume :
- 39
- Issue :
- 2
- Database :
- OpenAIRE
- Journal :
- World journal of surgery
- Accession number :
- edsair.doi.dedup.....ccc5ca13a6f8a3200bd4e8c38c5e518a