DSA-guided percutaneous radiologic gastrostomy for treatment of esophageal cancer with dysphagia / 中国介入影像与治疗学

ABSTRACT

Objective: To explore the therapeutic effect of DSA-guided percutaneous radiological gastrostomy (PRG) in patients with esophageal cancer with dysphagia. Methods: Data of 194 patients with esophageal cancer with dysphagia were retrospectively analyzed. The patients were divided into PRG group (enteral nutrition support via DSA-guided PRG, n=80) and non-PRG group (nutritional support through oral feeding after esophageal stent insertion, n=114). Body mass index (BMI), the serum levels of albumin, prealbumin, hemoglobin before and 1 month after operation, and the incidence of adverse reactions were compared between 2 groups. Results: There was no significant difference of BMI, albumin, prealbumin nor hemoglobin between 2 groups preoperation (all P>0.05). Albumin, prealbumin and hemoglobin 1 month after operation were lower than those preoperation in both groups (all P<0.05),but in PRG group were significantly higher than those in non-PRG group (all P<0.05). During the follow-up period, the incidences of aspiration pneumonia and tracheoesophageal fistula in PRG group were significantly lower than in non-PRG group (both P<0.05). Conclusion: DSA-guided PRG can improve nutritional status and reduce the incidences of aspiration pneumonia and tracheoesophageal fistula in patients with esophageal cancer with dysphagia.