Laparogastroscopy—A Transgastric Laparoscopic Approach for Malignant Esophageal Stenosis
Abstract
1. Introduction
2. Materials and Methods
2.1. Laparogastroscopy Technique Description
The Type of Stents
2.2. Rendezvous Technique Description
2.3. Patient Selection in the Study Group
2.4. Pre- and Post-Treatment Assessments
2.5. Statistical Analysis
3. Results
4. Discussion
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Characteristic n = 63 | All | Pezzer 35 (48.6) | Silicone 23 (31.9) | SEMS 5 (6.9) | p-Value |
---|---|---|---|---|---|
Gender, n (%) | |||||
Male | 57 (90.5) | 32 (91.4) | 20 (87.0) | 5 (100.0) | 0.805 |
Female | 6 (9.5) | 3 (8.6) | 3 (13.0) | - | |
Age (years, mean ± SD) (range) | 65.22 ± 10.46 (36–95) | 66.37 ± 9.84 (51–95) | 63.78 ± 12.23 (36–92) | 63.80 ± 4.91 (58–68) | 0.629 |
Anemia, n (%) | 46 (73.0) | 25 (71.4) | 17 (73.9) | 4 (80.0) | 1.000 |
Smoking, n (%) | 60 (95.2) | 33 (94.3) | 22 (95.7) | 5 (100.0) | 1.000 |
Alcohol, n (%) | 45 (71.4) | 22 (62.9) | 19 (82.6) | 4 (80.0) | 0.273 |
Esophageal cancer | |||||
Squamous | 36 (57.1) | 10 (28.6) | 23 (100) | 3 (60.0) | 0.000 |
Adenocarcinoma | 27 (42.9) | 25 (71.4) | - | 2 (40.0) | |
Location of cancer, n (%) | |||||
Upper esophagus | 13 (20.6) | 5 (14.3) | 7 (30.4) | 1 (20.0) | 0.000 |
Middle esophagus | 23 (36.5) | 5 (14.3) | 16 (69.6) | 2 (40.0) | |
Lower esophagus | 27 (42.9) | 25 (71.4) | - | 2 (40.0) | |
Fistula, n (%) | 8 (12.7) | 2 (5.7) | 5 (21.7) | 1 (20.0) | 0.116 |
Ogilvie dysphagia score (prior stent placement), n (%) | |||||
3 | 25 (39.7) | 14 (40.0) | 8 (34.8) | 3 (60.0) | 0.630 |
4 | 38 (60.3) | 21 (60.0) | 15 (65.2) | 2 (40.0) | |
Ogilvie dysphagia score (after stent placement), n (%) | |||||
0 | 51 (81.0) | 30 (85.7) | 17 (73.9) | 4 (80.0) | 0.545 |
1 | 12 (19.0) | 5 (14.3) | 6 (26.1) | 1 (20.0) | |
Nutritional status, n (%) | |||||
Body weight loss | 48 (76.2) | 29 (82.9) | 16 (69.6) | 3 (60.0) | 0.344 |
Cachexia | 15 (23.8) | 6 (17.1) | 7 (30.4) | 2 (40.0) | |
Chemotherapy, n (%) | 9 (14.3) | 3 (8.6) | 6 (26.1) | - | 0.152 |
Radiotherapy, n (%) | 9 (14.3) | 2 (5.7) | 6 (26.1) | 1 (20.0) | 0.060 |
Gastrostomy, n (%) | |||||
Pre-operative | 6 (9.5) | 3 (8.6) | 3 (13.0) | - | 0.710 |
Intra-operative | 7 (11.1) | 3 (8.6) | 4 (17.4) | - | |
Jejunostomy, n (%) | 5 (7.9) | 2 (5.7) | 2 (8.7) | 1 (20.0) | 0.443 |
Tracheostomy, n (%) | 5 (6.9) | 2 (5.7) | 2 (8.7) | - | 1.000 |
Complication | All | Pezzer 35 (48.6) | Silicone 23 (31.9) | SEMS 5 (6.9) | p-Value |
---|---|---|---|---|---|
Pain, more than 1 month, n (%) | 38 (60.3) | 18 (51.4) | 16 (69.6) | 4 (80.0) | 0.274 |
Hemorrhage, n (%) | 3 (4.8) | 1 (2.9) | 2 (8.7) | - | 0.655 |
Stent migration, n (%) | 5 (7.9) | 1 (2.9) | 2 (8.7) | 2 (40.0) | 0.038 |
Restenosis, n (%) | 6 (9.5) | 3 (8.6) | 2 (8.7) | 1 (20.0) | 0.634 |
All | Pezzer 35 (48.6) | Silicone 23 (31.9) | SEMS 5 (6.9) | p-Value | |
---|---|---|---|---|---|
Death, n (%) | 12 | 5 (41.7) | 6 (50.0) | 1 (8.3) | 0.545 |
Death causes | |||||
SEPSIS | 4 (33.3) | 2 (40.0) | 2 (33.3) | - | 1.000 |
Restenosis | 2 (16.7) | 1 (20.0) | 1 (16.7) | - | 1.000 |
Hemorrhage | 1 (8.3) | 1 (20.0) | - | - | 1.000 |
Cardiac causes | 5 (41.7) | 2 (40.0) | 3 (50.0) | - | 0.593 |
Pulmonary causes | 2 (16.7) | - | 2 (33.3) | - | 0.283 |
Others | 1 (8.3) | - | - | 1 (100) | 0.079 |
Survival period, months | 10.75 ± 15.72 (0–50) | 5.60 ± 10.85 (0–25) | 16.50 ± 19.19 (0–50) | 2.00 | 0.504 |
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Lupu-Petria, A.D.; Sabau, A.D.; Serban, D.; Trotea, T.; Maniu, I.; Sabau, D. Laparogastroscopy—A Transgastric Laparoscopic Approach for Malignant Esophageal Stenosis. Healthcare 2023, 11, 815. https://doi.org/10.3390/healthcare11060815
Lupu-Petria AD, Sabau AD, Serban D, Trotea T, Maniu I, Sabau D. Laparogastroscopy—A Transgastric Laparoscopic Approach for Malignant Esophageal Stenosis. Healthcare. 2023; 11(6):815. https://doi.org/10.3390/healthcare11060815
Chicago/Turabian StyleLupu-Petria, Alexandra Delia, Alexandru Dan Sabau, Dragos Serban, Tiberiu Trotea, Ionela Maniu, and Dan Sabau. 2023. "Laparogastroscopy—A Transgastric Laparoscopic Approach for Malignant Esophageal Stenosis" Healthcare 11, no. 6: 815. https://doi.org/10.3390/healthcare11060815
APA StyleLupu-Petria, A. D., Sabau, A. D., Serban, D., Trotea, T., Maniu, I., & Sabau, D. (2023). Laparogastroscopy—A Transgastric Laparoscopic Approach for Malignant Esophageal Stenosis. Healthcare, 11(6), 815. https://doi.org/10.3390/healthcare11060815