Fluoroscopically-guided percutaneous gastrostomy for enteral nutrition access in the treatment of esophageal fistulas after radiotherapy of cervical esophageal cancer: a retrospective study
10.3760/cma.j.cn115822-20240808-00142
- VernacularTitle:透视下经皮胃造瘘建立肠内营养通路治疗颈段食管癌放疗后食管瘘的回顾性研究
- Author:
Hongtao HU
1
;
Hailiang LI
1
;
Chenyang GUO
1
;
Quanjun YAO
1
;
Xiang GENG
1
;
Hang YUAN
1
;
Weili XIA
1
;
Ke ZHAO
1
;
Wen LUO
1
Author Information
1. 郑州大学附属肿瘤医院（河南省肿瘤医院）微创介入科，郑州 450008
- Publication Type:Journal Article
- Keywords:
Cervical esophageal cancer;
Esophageal fistula;
Esophagomediastinal fistula;
Esophagotracheal fistula;
Percutaneous gastrostomy
- From:
Chinese Journal of Clinical Nutrition
2025;33(4):299-303
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the efficacy and safety of fluoroscopically-guided percutaneous gastrostomy (FGPG) for establishing enteral nutrition access in the treatment of esophageal fistula after radiotherapy for cervical esophageal cancer (CEC).Methods:A retrospective analysis was conducted on the clinical data of 54 patients who underwent FGPG due to esophageal fistula after radiotherapy for CEC at our department from November 2009 to August 2019. All patients received endoscopy before radiotherapy, and CEC was pathologically confirmed. Enteral nutrition support was offered through a gastrostomy tube postoperatively. The success rate of FGPG, complications, and healing of perforation were recorded and analyzed.Results:FGPG was successfully performed in all 54 patients (100%). During the 12-month follow-up, 50 patients (92.6) survived while four (7.4%) died. Among 36 patients with esophagomediastinal fistula, 32 (88.9%) healed in a median of 12 weeks; of 18 patients with esophagotracheal fistula, 8 (44.4%) healed in a median of 18 weeks. Thus, patients with esophagomediastinal fistula had a significantly higher healing rate ( P<0.01) and shorter healing time ( P=0.017). Gastrostomy tube-related complications were minimal, and no serious complication was noted. Conclusions:FGPG is effective for the treatment of esophageal fistula after CEC radiotherapy and may be an alternative treatment for esophageal fistula.
