Effect of jejunum tube implantation on radiotherapy for esophageal cancer
10.3760/cma.j.issn.1006-9801.2018.04.009
- VernacularTitle:空肠营养管植入对食管癌放疗的影响
- Author:
Guowei CHENG
1
;
Li SUN
;
Xin WANG
;
Wenzhong WANG
;
Ping CHEN
;
Xiangling HE
;
Hengzhi XI
;
Dan SU
Author Information
1. 100122,北京市朝阳区桓兴肿瘤医院放疗科
- Keywords:
Esophageal neoplasms;
Radiotherapy;
computer-assisted;
Enteral nutrition
- From:
Cancer Research and Clinic
2018;30(4):255-257,261
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effect of jejunum tube implantation on the reduction of adverse reactions,outcomes improvement and cost reduction in esophageal cancer patients with radiotherapy. Methods Eighty-two esophageal cancer patients with nutritional risk in Beijing Chaoyang District Huanxing Cancer Hospital from August 2014 to December 2016 were analyzed. Forty-one cases received jejunum tube implantation (implantation group) and 41 cases received non-nutrient tube implantation (control group), and data on their nutritional status,clinical efficacy,adverse reactions,and hospitalization costs were collected and compared. Results Compared with the control group, the implantation group has higher body mass index [(21.7±0.5)kg/m2vs. (19.5±0.3) kg/m2,t =2.12,P =0.031], hemoglobin[(120.0±2.1) g/L vs. (115.0±6.3) g/L, t= 2.12, P= 0.031] and clinical efficacy [95.1 % (39/41) vs. 87.8 % (36/41), χ2= 6.11, P= 0.022]. The incidence of adverse reactions in implantation group was significantly lower than that in control group[29.3 % (12/41) vs. 51.2 %(21/41),χ 2=8.12,P=0.002). The total cost in implantation group was lower than that in control group (138 000 yuan vs. 147 000 yuan, t= 2.09, P= 0.037), and the average hospitalization day was significantly reduced (42.1 d vs. 48.4 d, t = 2.27, P = 0.029). Conclusion Enteral nutrition support with jejunal feeding tube can reduce the incidence of adverse reactions, improve the curative effect, shorten hospitalization time and save medical cost for patients with esophageal cancer.
