Application of CORFLO Feeding Tube after Video-assisted Thoracoscopic Ivor Lewis Esophagogastrectomy for Esophageal Cancer and Cardiac Adenocarcinoma_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

 LUChao-jing , YANGLi-xin , CHENHe-zhong , XUZhi-yun

Department of Thoracic Surgery, Changhai Hospital, Second Military Medical University, Shanghai 200433, P. R. China;

Corresponding author：

LUChao-jing, Email: luchaojing@126.com

Keywords：

Esophageal cancer; Ivor Lewis; Nose-jejunum nutrition tube

DOI：

10.7507/1007-4848.20160272

Video：

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Objective To explore the feasibility of CORFLO feeding tube in enternal nutrition after video-assisted thoracoscopic Ivor Lewis esophagogastrectomy for esophageal cancer and cardiac adenocarcinoma. Methods A total of 107 patients with esophageal cancer and cardiac adenocarcinoma undergoing video-assisted thoracoscopic Ivor Lewis esophagectomy or resection of cardiac adenocarcinoma in our department between October 2014 and January 2016 were enrolled, among whom 10 patients received jejunostomy and 97 patients (60 males, 37 females, median age of 66 years, range, 47-75 years) received the insertion of CORFLO feeding tubes. Results In 97 cases with insertion of feeding tubes, median insertion time was 7 (3-11) min and median depth was 83 (75-90) cm. The first-attempt success rate during the operation was 77.3% (75/97), and the second attempt at the bedside postoperatively was successful in 8 cases. The overall success rate was 85.6% (83/97). Insertion was successful in 77 esophageal cancer patients and 6 cardiac adenocarcinoma patients. Conclusion Blind insertion of CORFLO feeding tube in video-assisted thoracoscopic Ivor Lewis esophagogastrectomy for esophageal cancer and cardiac adenocarcinoma is feasible and safe. This noninvasive method is simple, effective and repeatable.

Citation： LUChao-jing, YANGLi-xin, CHENHe-zhong, XUZhi-yun. Application of CORFLO Feeding Tube after Video-assisted Thoracoscopic Ivor Lewis Esophagogastrectomy for Esophageal Cancer and Cardiac Adenocarcinoma. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2016, 23(12): 1154-1157. doi: 10.7507/1007-4848.20160272 Copy

1.	Llaguna OH, Kim HJ, Deal AM, et al. Utilization and morbidity asso-ciated with placement of a feeding jejunostomy at the time of gastro-esophageal resection. J Gastrointest surg, 2011, 15(10): 1663-1669.
2.	Baker A, Wooten LA, Malloy M. Nutritional considerations after gastrectomy and esophagectomy for malignancy. Curr Treat Options Oncol, 2011, 12(1): 85-95.
3.	余帅, 王志刚, 黄敏乾, 等. 食管癌手术后肠内营养与肠外营养对肝、肾功能及胃肠功能影响的对比研究. 中国胸心血管外科临床杂志, 2014, 21(4): 498-502.
4.	Doig GS, Heighes PT, Simpson F, et al. Early enteral nutrition, provided within 24 h of injury or intensive care unit admission, significantly reduces mortality in critically ill patients: a meta-analysis of randomised controlled trials. Intensive Care Med, 2009, 35(12): 2018-2027.
5.	张鸿, 汪健, 王文辰, 等. 食管癌Ivor-Lewis术式与Sweet术式比较研究的Meta分析. 中华胃肠外科杂志, 2014, 17(9): 892-897.
6.	马龙飞, 相加庆, 李鹤成, 等. Ivor-Lewis手术治疗食管癌的近期临床疗效分析. 中华医学杂志, 2012, 92(23): 1618-1620.
7.	吴汉然, 解明然, 柳常青, 等. 微创Ivor-Lewis术与McKeown术治疗胸中下段食管癌近期疗效比较. 中华胸心血管外科杂志, 2014, 30(11): 649-652.
8.	蔡杰, 彭俊, 王文凭, 等. SiewertⅡ型食管胃结合部腺癌淋巴结转移规律及手术方式的选择. 中国胸心血管外科临床杂志, 2016, 23(2): 151-155.
9.	Phillips MS, Ponsky JL. Overview of enteral and parenteral feeding access techniques: principles and practice. Surg Clin North AM, 2011, 91(4): 897-911.
10.	王勐, 宫立群, 李晓璘, 等. Ivor-Lewis食管癌根治术中新式营养管置入方式的疗效分析. 中国肿瘤临床, 2009, 36(13): 772-776.
11.	Gong L, Yan B, Chen Y, et al. Alternative method for jejunostomy in Ivor-Lewis esophagectomy. Thoracic Cancer, 2015, 6(3): 296-302.
12.	王文凭, 牛中喜, 杨玉赏, 等. Ivor-Lewis食管癌切除术中闭合式空肠营养管置入临床经验. 中国肿瘤临床, 2014, 41(23): 1495-1499.
13.	解明然, 柳常青, 孙效辉, 等. 微创Ivor Lewis食管癌切除术治疗局部进展期食管癌近期结果分析. 中华外科杂志, 2015, 53(7): 508-512.
14.	陶开义, 陈奇勋, 赵强, 等.胸腹腔镜与传统Ivor-Lewis手术对早中期食管癌患者术后生活质量的影响. 中国肿瘤, 2016, 25(3): 226-232.
15.	鲁勇国, 梅波, 万志渝, 等. 胸腔镜食管癌切除术后患者近期生命质量的评价. 中国胸心血管外科临床杂志, 2016, 23(3): 248-252.
16.	方中, 戴伟, 范学朋. ICU床旁放置Corflo胃肠营养管24例体会. 内科急危重症杂志, 2013, 19(6): 373-374.
17.	Duggan S, Egan SM, Smyth ND, et al. Blind bedside insertion of small bowel feeding tubes. Ir J Med Sci, 2009, 178(4): 485-489.
18.	徐文婷, 黄东健, 廖广园, 等. 重症患者双导丝盲视法置鼻肠管肠内营养临床可行性研究. 西部医学, 2015, 27(4): 505-510.
19.	何金涛, 李强. 幽门成形术预防食管癌术后胃排空障碍的作用分析. 现代预防医学, 2008, 35(12): 2372-2373.
20.	孙志勇, 曹子昂, 富皓白, 等. 食管切除术中加行幽门引流术的必要性及安全性的Meta分析. 临床外科杂志, 2012, 20(7): 486-488.

1. Llaguna OH, Kim HJ, Deal AM, et al. Utilization and morbidity asso-ciated with placement of a feeding jejunostomy at the time of gastro-esophageal resection. J Gastrointest surg, 2011, 15(10): 1663-1669.
2. Baker A, Wooten LA, Malloy M. Nutritional considerations after gastrectomy and esophagectomy for malignancy. Curr Treat Options Oncol, 2011, 12(1): 85-95.
3. 余帅, 王志刚, 黄敏乾, 等. 食管癌手术后肠内营养与肠外营养对肝、肾功能及胃肠功能影响的对比研究. 中国胸心血管外科临床杂志, 2014, 21(4): 498-502.
4. Doig GS, Heighes PT, Simpson F, et al. Early enteral nutrition, provided within 24 h of injury or intensive care unit admission, significantly reduces mortality in critically ill patients: a meta-analysis of randomised controlled trials. Intensive Care Med, 2009, 35(12): 2018-2027.
5. 张鸿, 汪健, 王文辰, 等. 食管癌Ivor-Lewis术式与Sweet术式比较研究的Meta分析. 中华胃肠外科杂志, 2014, 17(9): 892-897.
6. 马龙飞, 相加庆, 李鹤成, 等. Ivor-Lewis手术治疗食管癌的近期临床疗效分析. 中华医学杂志, 2012, 92(23): 1618-1620.
7. 吴汉然, 解明然, 柳常青, 等. 微创Ivor-Lewis术与McKeown术治疗胸中下段食管癌近期疗效比较. 中华胸心血管外科杂志, 2014, 30(11): 649-652.
8. 蔡杰, 彭俊, 王文凭, 等. SiewertⅡ型食管胃结合部腺癌淋巴结转移规律及手术方式的选择. 中国胸心血管外科临床杂志, 2016, 23(2): 151-155.
9. Phillips MS, Ponsky JL. Overview of enteral and parenteral feeding access techniques: principles and practice. Surg Clin North AM, 2011, 91(4): 897-911.
10. 王勐, 宫立群, 李晓璘, 等. Ivor-Lewis食管癌根治术中新式营养管置入方式的疗效分析. 中国肿瘤临床, 2009, 36(13): 772-776.
11. Gong L, Yan B, Chen Y, et al. Alternative method for jejunostomy in Ivor-Lewis esophagectomy. Thoracic Cancer, 2015, 6(3): 296-302.
12. 王文凭, 牛中喜, 杨玉赏, 等. Ivor-Lewis食管癌切除术中闭合式空肠营养管置入临床经验. 中国肿瘤临床, 2014, 41(23): 1495-1499.
13. 解明然, 柳常青, 孙效辉, 等. 微创Ivor Lewis食管癌切除术治疗局部进展期食管癌近期结果分析. 中华外科杂志, 2015, 53(7): 508-512.
14. 陶开义, 陈奇勋, 赵强, 等.胸腹腔镜与传统Ivor-Lewis手术对早中期食管癌患者术后生活质量的影响. 中国肿瘤, 2016, 25(3): 226-232.
15. 鲁勇国, 梅波, 万志渝, 等. 胸腔镜食管癌切除术后患者近期生命质量的评价. 中国胸心血管外科临床杂志, 2016, 23(3): 248-252.
16. 方中, 戴伟, 范学朋. ICU床旁放置Corflo胃肠营养管24例体会. 内科急危重症杂志, 2013, 19(6): 373-374.
17. Duggan S, Egan SM, Smyth ND, et al. Blind bedside insertion of small bowel feeding tubes. Ir J Med Sci, 2009, 178(4): 485-489.
18. 徐文婷, 黄东健, 廖广园, 等. 重症患者双导丝盲视法置鼻肠管肠内营养临床可行性研究. 西部医学, 2015, 27(4): 505-510.
19. 何金涛, 李强. 幽门成形术预防食管癌术后胃排空障碍的作用分析. 现代预防医学, 2008, 35(12): 2372-2373.
20. 孙志勇, 曹子昂, 富皓白, 等. 食管切除术中加行幽门引流术的必要性及安全性的Meta分析. 临床外科杂志, 2012, 20(7): 486-488.

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Application of CORFLO Feeding Tube after Video-assisted Thoracoscopic Ivor Lewis Esophagogastrectomy for Esophageal Cancer and Cardiac Adenocarcinoma

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