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.	余帥, 王志剛, 黃敏乾, 等. 食管癌手術后腸內營養與腸外營養對肝、腎功能及胃腸功能影響的對比研究. 中國胸心血管外科臨床雜志, 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.	張鴻, 汪健, 王文辰, 等. 食管癌Ivor-Lewis術式與Sweet術式比較研究的Meta分析. 中華胃腸外科雜志, 2014, 17(9): 892-897.
6.	馬龍飛, 相加慶, 李鶴成, 等. Ivor-Lewis手術治療食管癌的近期臨床療效分析. 中華醫學雜志, 2012, 92(23): 1618-1620.
7.	吳漢然, 解明然, 柳常青, 等. 微創Ivor-Lewis術與McKeown術治療胸中下段食管癌近期療效比較. 中華胸心血管外科雜志, 2014, 30(11): 649-652.
8.	蔡杰, 彭俊, 王文憑, 等. SiewertⅡ型食管胃結合部腺癌淋巴結轉移規律及手術方式的選擇. 中國胸心血管外科臨床雜志, 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, 宮立群, 李曉璘, 等. Ivor-Lewis食管癌根治術中新式營養管置入方式的療效分析. 中國腫瘤臨床, 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.	王文憑, 牛中喜, 楊玉賞, 等. Ivor-Lewis食管癌切除術中閉合式空腸營養管置入臨床經驗. 中國腫瘤臨床, 2014, 41(23): 1495-1499.
13.	解明然, 柳常青, 孫效輝, 等. 微創Ivor Lewis食管癌切除術治療局部進展期食管癌近期結果分析. 中華外科雜志, 2015, 53(7): 508-512.
14.	陶開義, 陳奇勛, 趙強, 等.胸腹腔鏡與傳統Ivor-Lewis手術對早中期食管癌患者術后生活質量的影響. 中國腫瘤, 2016, 25(3): 226-232.
15.	魯勇國, 梅波, 萬志渝, 等. 胸腔鏡食管癌切除術后患者近期生命質量的評價. 中國胸心血管外科臨床雜志, 2016, 23(3): 248-252.
16.	方中, 戴偉, 范學朋. ICU床旁放置Corflo胃腸營養管24例體會. 內科急危重癥雜志, 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, 黃東健, 廖廣園, 等. 重癥患者雙導絲盲視法置鼻腸管腸內營養臨床可行性研究. 西部醫學, 2015, 27(4): 505-510.
19.	何金濤, 李強. 幽門成形術預防食管癌術后胃排空障礙的作用分析. 現代預防醫學, 2008, 35(12): 2372-2373.
20.	孫志勇, 曹子昂, 富皓白, 等. 食管切除術中加行幽門引流術的必要性及安全性的Meta分析. 臨床外科雜志, 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. 余帥, 王志剛, 黃敏乾, 等. 食管癌手術后腸內營養與腸外營養對肝、腎功能及胃腸功能影響的對比研究. 中國胸心血管外科臨床雜志, 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. 張鴻, 汪健, 王文辰, 等. 食管癌Ivor-Lewis術式與Sweet術式比較研究的Meta分析. 中華胃腸外科雜志, 2014, 17(9): 892-897.
6. 馬龍飛, 相加慶, 李鶴成, 等. Ivor-Lewis手術治療食管癌的近期臨床療效分析. 中華醫學雜志, 2012, 92(23): 1618-1620.
7. 吳漢然, 解明然, 柳常青, 等. 微創Ivor-Lewis術與McKeown術治療胸中下段食管癌近期療效比較. 中華胸心血管外科雜志, 2014, 30(11): 649-652.
8. 蔡杰, 彭俊, 王文憑, 等. SiewertⅡ型食管胃結合部腺癌淋巴結轉移規律及手術方式的選擇. 中國胸心血管外科臨床雜志, 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, 宮立群, 李曉璘, 等. Ivor-Lewis食管癌根治術中新式營養管置入方式的療效分析. 中國腫瘤臨床, 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. 王文憑, 牛中喜, 楊玉賞, 等. Ivor-Lewis食管癌切除術中閉合式空腸營養管置入臨床經驗. 中國腫瘤臨床, 2014, 41(23): 1495-1499.
13. 解明然, 柳常青, 孫效輝, 等. 微創Ivor Lewis食管癌切除術治療局部進展期食管癌近期結果分析. 中華外科雜志, 2015, 53(7): 508-512.
14. 陶開義, 陳奇勛, 趙強, 等.胸腹腔鏡與傳統Ivor-Lewis手術對早中期食管癌患者術后生活質量的影響. 中國腫瘤, 2016, 25(3): 226-232.
15. 魯勇國, 梅波, 萬志渝, 等. 胸腔鏡食管癌切除術后患者近期生命質量的評價. 中國胸心血管外科臨床雜志, 2016, 23(3): 248-252.
16. 方中, 戴偉, 范學朋. ICU床旁放置Corflo胃腸營養管24例體會. 內科急危重癥雜志, 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, 黃東健, 廖廣園, 等. 重癥患者雙導絲盲視法置鼻腸管腸內營養臨床可行性研究. 西部醫學, 2015, 27(4): 505-510.
19. 何金濤, 李強. 幽門成形術預防食管癌術后胃排空障礙的作用分析. 現代預防醫學, 2008, 35(12): 2372-2373.
20. 孫志勇, 曹子昂, 富皓白, 等. 食管切除術中加行幽門引流術的必要性及安全性的Meta分析. 臨床外科雜志, 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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