Clinical Outcomes of Triluminal-tube Feeding with Tubular Stomach for the Treatment of Esophageal Carcinoma in Elderly Patients_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

 LIXiao-cong , ZHUHong , RENJie , YANGWei , YANGYan-gang , ZHANGLin , LIJin-xue , CHENGXiao-lan

Department of Cardiothoracic Surgery, Mianyang Central Hospital, Mianyang 621000, Sichuan, P. R. China;

Corresponding author：

LIXiao-cong, Email: lixiaocong198272@163.com

Keywords：

Triluminal feeding tube; Tubular stomach; Elderly; Esophageal carcinoma

DOI：

10.7507/1007-4848.20140189

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To compare clinical outcomes between triluminal-tube feeding combined with tubular stomach and traditional esophagectomy for the treatment of esophageal carcinoma (EC)in elderly patients. Methods A total of 196 elderly patients (>60 years)with EC who received esophagectomy in the Department of Cardiothoracic Surgery, Mianyang Central Hospital from January 2007 to January 2013 were enrolled in this study. According to different surgical methods, all the patients were divided into triluminal-tube feeding combined with tubular stomach group (group A)and traditional esophagectomy group (group B). There were 96 patients including 51 males and 45 females in group A with their age of 60-81 (66.21±7.32)years, and 100 patients including 54 males and 46 females in group B with their age of 60-82 (65.43±6.37)years. Clinical indexes were compared between the 2 groups. Results Radical esophagectomy was successfully performed for all the patients. There was no statistical difference in operation time, intraoperative blood loss, postoperative incidence of chylothorax, recurrent laryngeal nerve paralysis, anastomotic leakage, anastomotic stricture or mortality between the 2 groups (P > 0.05). Time to first passage of flatus and postoperative length of hospital stay of group A were significantly shorter than those of group B, and the incidences of postoperative arrhythmias, pulmonary complications and thoracic-stomach syndrome of group A were significantly lower than those of group B (P < 0.05). Conclusion Triluminal-tube feeding combined with tubular stomach can significantly reduce postoperative morbidity, shorten hospital stay and improve quality of life of elderly patients undergoing esophagectomy.

Citation： LIXiao-cong, ZHUHong, RENJie, YANGWei, YANGYan-gang, ZHANGLin, LIJin-xue, CHENGXiao-lan. Clinical Outcomes of Triluminal-tube Feeding with Tubular Stomach for the Treatment of Esophageal Carcinoma in Elderly Patients. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2014, 21(5): 654-656. doi: 10.7507/1007-4848.20140189 Copy

1.	李卫, 赵雍凡.术后早期肠内营养对食管癌患者肠粘膜屏障功能影响.中国胸心血管外科临床杂志, 2004, 11(2):108-111.
2.	Nakamura M, Iwahashi M, Takifuji K, et al. Optimal dose of preoperative enteral immunonutrition for patients with esophageal cancer. Surg Today, 2009, 39(10):855-860.
3.	Kim HK, Choi YH, Shim JH, et al. Endoscopic evaluation of the quality of the anastomosis after esophagectomy with gastric tube recon-struction. World J Surg, 2008, 32(9):2010-2014.
4.	王峻峰, 陈淑章, 袁挺, 等.早期肠内营养对老年食管癌患者术后恢复的影响.中国胸心血管外科临床杂志, 2011, 18(5):422-424.
5.	Bower M, Jones W, Vessels B, et al. Nutritional support with endo-luminal stenting during neoadjuvant therapy for esophageal malignancy. Ann Surg Oncol, 2009, 16(11):3161-3168.
6.	尤俊, 秦维霞, 吴培仁, 等.老年食管贲门癌术后早期肠内营养与肠外营养疗效的对比研究.肠外与肠内营养, 2010, 17(2):78-80.
7.	杨长刚, 陆松华, 景仕银, 等.老年食管贲门癌患者术后早期肠内营养的临床观察.南通大学学报, 2011, 31(2):128-130.
8.	李小丛, 朱宏, 孙薇, 等.管状胃代食管在老年食管癌手术中的临床应用.临床外科杂志, 2013, 21(6):447-449.
9.	Kattelmann KK, Hise M, Russell M, et al. Preliminary evidence for a medical nutrition therapy protocol:enteral feedings for critically ill patients. J Am Diet Assoc, 2006, 106(8):1226-1241.
10.	Yamamoto S, Makuuchi H, Shimada H, et al. Clinical analysis of reflux esophagitis following esophagectomy with gastric tube reconstruction. J Gastroenterol, 2007, 42(5):342-345.
11.	Rice TW, Rusch VW, Apperson-Hansen C, et al. Worldwide esop-hageal cancer collaboration. Dis Esophagus, 2009, 22(1):1-8.
12.	李晓林, 刘跃华, 何梅, 等.三腔喂养管营养支持对降低食管癌术后患者呼吸机相关性肺炎的作用.中华护理杂志, 2010, 45(11):988-990.
13.	左涛, 黄杰, 谢颂平, 等.老年食管癌患者术后严重并发症的危险因素分析.临床外科杂志, 2012(8):563-565.
14.	Barbera L, Kemen M, W egener M, et al. Efleet of site and width of stomach tube after esophageal resection on gastric emptying. Zentr-alhl Chir, 1994, 119(4):240-244.
15.	Kato H, Fukuchi M, Miyazaki T, et al. Surgical treatment for esopha-geal cancer current issues. Dig Surg, 2007, 24(2):89-95.
16.	Law S, Wong J. The current management of esophageal cancer. Adv Surg, 2007, 41:93-119.
17.	Dhamarajan TS, Unnikrishnan D.Tube feeding in the elderly. The technique complication and outcome. Postgrad Med, 2004, 115(2):51-54, 58-61.
18.	Sultan J, Griffin SM, Di Franco F, et al. Randomized clinical trial of omega-3 fatty acid-supplemented enteral nutrition versus standard enteral nutrition in patients undergoing oesophagogastric cancer surgery. Br J Surg, 2012, 99(3):346-355.
19.	Yuan YC, Xia ZK, Yin N, et al. Modified thoracoscopic versus minimally invasive oesophagectomy in curative resection of oesophageal cancer. J Int Med Res, 2011, 39(3):904-911.

1. 李卫, 赵雍凡.术后早期肠内营养对食管癌患者肠粘膜屏障功能影响.中国胸心血管外科临床杂志, 2004, 11(2):108-111.
2. Nakamura M, Iwahashi M, Takifuji K, et al. Optimal dose of preoperative enteral immunonutrition for patients with esophageal cancer. Surg Today, 2009, 39(10):855-860.
3. Kim HK, Choi YH, Shim JH, et al. Endoscopic evaluation of the quality of the anastomosis after esophagectomy with gastric tube recon-struction. World J Surg, 2008, 32(9):2010-2014.
4. 王峻峰, 陈淑章, 袁挺, 等.早期肠内营养对老年食管癌患者术后恢复的影响.中国胸心血管外科临床杂志, 2011, 18(5):422-424.
5. Bower M, Jones W, Vessels B, et al. Nutritional support with endo-luminal stenting during neoadjuvant therapy for esophageal malignancy. Ann Surg Oncol, 2009, 16(11):3161-3168.
6. 尤俊, 秦维霞, 吴培仁, 等.老年食管贲门癌术后早期肠内营养与肠外营养疗效的对比研究.肠外与肠内营养, 2010, 17(2):78-80.
7. 杨长刚, 陆松华, 景仕银, 等.老年食管贲门癌患者术后早期肠内营养的临床观察.南通大学学报, 2011, 31(2):128-130.
8. 李小丛, 朱宏, 孙薇, 等.管状胃代食管在老年食管癌手术中的临床应用.临床外科杂志, 2013, 21(6):447-449.
9. Kattelmann KK, Hise M, Russell M, et al. Preliminary evidence for a medical nutrition therapy protocol:enteral feedings for critically ill patients. J Am Diet Assoc, 2006, 106(8):1226-1241.
10. Yamamoto S, Makuuchi H, Shimada H, et al. Clinical analysis of reflux esophagitis following esophagectomy with gastric tube reconstruction. J Gastroenterol, 2007, 42(5):342-345.
11. Rice TW, Rusch VW, Apperson-Hansen C, et al. Worldwide esop-hageal cancer collaboration. Dis Esophagus, 2009, 22(1):1-8.
12. 李晓林, 刘跃华, 何梅, 等.三腔喂养管营养支持对降低食管癌术后患者呼吸机相关性肺炎的作用.中华护理杂志, 2010, 45(11):988-990.
13. 左涛, 黄杰, 谢颂平, 等.老年食管癌患者术后严重并发症的危险因素分析.临床外科杂志, 2012(8):563-565.
14. Barbera L, Kemen M, W egener M, et al. Efleet of site and width of stomach tube after esophageal resection on gastric emptying. Zentr-alhl Chir, 1994, 119(4):240-244.
15. Kato H, Fukuchi M, Miyazaki T, et al. Surgical treatment for esopha-geal cancer current issues. Dig Surg, 2007, 24(2):89-95.
16. Law S, Wong J. The current management of esophageal cancer. Adv Surg, 2007, 41:93-119.
17. Dhamarajan TS, Unnikrishnan D.Tube feeding in the elderly. The technique complication and outcome. Postgrad Med, 2004, 115(2):51-54, 58-61.
18. Sultan J, Griffin SM, Di Franco F, et al. Randomized clinical trial of omega-3 fatty acid-supplemented enteral nutrition versus standard enteral nutrition in patients undergoing oesophagogastric cancer surgery. Br J Surg, 2012, 99(3):346-355.
19. Yuan YC, Xia ZK, Yin N, et al. Modified thoracoscopic versus minimally invasive oesophagectomy in curative resection of oesophageal cancer. J Int Med Res, 2011, 39(3):904-911.

Previous Article
Advance in Study of MicroRNA in Invasion and Metastasis of Breast Cancer
Next Article
Advance in Study of MicroRNA in Invasion and Metastasis of Breast Cancer

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Clinical Outcomes of Triluminal-tube Feeding with Tubular Stomach for the Treatment of Esophageal Carcinoma in Elderly Patients

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content