The feasibility of postoperative nutrition of cervical gastric fistula after radical resection of thoracic esophageal carcinoma
10.3760/cma.j.issn.1001-4497.2018.10.009
- VernacularTitle:颈部胃造瘘术在胸腹腔镜联合食管癌根治术的应用
- Author:
Minjie MA
1
;
Shangqing XU
;
Chang CHEN
;
Biao HAN
Author Information
1. 730000,兰州大学第一医院胸外科
- Keywords:
Esophageal neoplasms;
Enteral nutrition;
Cervical gastric fistula operation
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2018;34(10):609-612,622
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the feasibility of postoperative nutrition of cervical gastric fistula after radical resection of thoracic esophageal carcinoma.Methods 288 patients with esophageal carcinoma from January 2015 to December 2017 of thoracic surgery in the first hospital of Lanzhou University were analyzed,in which 133 patients underwent cervical gastric fistula,88 patients retained the nasal and enteral nutrition tube,and 67 patients underwent jejunum fistula.The postoperative complications were observed and analyzed.Results The cervical gastric fistula was significantly superior to the enteral nutrition catheter and jejunum fistula in the patients with pulmonary infection,stoma infection,oropharyngeal comfort and so on after thoracic and laparoscopic resection of esophageal carcinoma.Conclusion The high cervical gastric fistula is a safe and feasible nutritional support method for the patients with thoracic and laparoscopic resection of the posterior sternum and the radical resection of esophageal carcinoma.