Long-term indwelling gastric tube for prevention and treatment of esophageal stricture after endoscopic submucosal dissection for esophageal circumferential superficial cancer
10.3760/cma.j.cn321463-20230210-00554
- VernacularTitle:食管全周浅表癌内镜黏膜下剥离术后长期保留胃管对食管狭窄的预防及治疗作用
- Author:
Ye TIAN
1
;
Chengjun XUE
;
Xiaomin LI
;
Zequan XIAO
;
Jian'an BAI
;
Jingbao KAN
;
Qin LONG
;
Lijun YAN
;
Yanmei WANG
;
Qiyun TANG
Author Information
1. 南京医科大学第一附属医院老年消化科，南京 210029
- Keywords:
Esophageal stenosis;
Endoscopic submucosal dissection;
Esophageal circumferential superficial cancer;
Gastric tube insertion
- From:
Chinese Journal of Digestive Endoscopy
2023;40(5):401-405
- CountryChina
- Language:Chinese
-
Abstract:
To investigate the effect of long-term indwelling gastric tube on the prevention and treatment of esophageal stenosis after endoscopic submucosal dissection (ESD) for esophageal circumferential superficial cancer, data of patients with esophageal circumferential superficial cancer who underwent ESD in the First Affiliated Hospital of Nanjing Medical University from January 2018 to December 2021 were retrospectively analyzed. There were 15 patients with gastric tube placement (GTP) after ESD (the GTP group ), and 23 patients without GTP (the non-GTP group). The general information, lesion location, pathological stage, postoperative complications, degree of esophageal stenosis (water intake), pain conditions, number of hospitalizations and medical expenses were compared between the two groups. The results showed that there was no significant difference in age, gender, lesion location or postoperative pathological stage between the two groups ( P>0.05). Compared with the non-GTP group, the rate of water intake in the GTP group was significantly higher (11/15 VS 6/23, P<0.05), the frequency of pain was less in the GTP group (7.3±3.1 times VS 10.7±3.6 times, t=3.00, P<0.05), and the number of hospitalizations and the medical expenses after ESD to before and after stent placement were significantly lower in the GTP group than those in the non-GTP group ( P<0.05). There were no significant differences in the incidence of delayed bleeding and perforation, or time of the first stenosis after ESD between the two groups ( P>0.05). The results of the study initially showed that long-term indwelling gastric tube after ESD can reduce the degree of esophageal stenosis with good safety for esophageal circumferential superficial lesions.
