title: Prognostic Factors of Oral Intake After Endoscopic Gastroduodenal Stent Placement for Advanced Gastric Cancer.
abstract: Gastroduodenal stents are effective for gastric outlet obstruction (GOO) due to gastric cancer. However, some patients are unable to eat again soon. We retrospectively analyzed the cause of short-feeding periods. Between 2011 and 2015, we performed stent placement in 22 patients who could not eat solids. The effects of clinical characteristics on duration of oral intake were analyzed using Cox proportional hazards models. Univariate analyses revealed that the degree of GOO [no oral intake/liquids only; hazard ratio (HR), 10.9; 95% confidence interval (CI), 2.5-48.1; P=0.003], performance status score (2 or 3/0 or 1; HR, 5.7; 95% CI, 1.8-16.9; P=0.004), and poststenting chemotherapy (no/yes; HR, 5.7; 95% CI, 1.9-18.9; P=0.002) were significant factors for cessation of oral intake. Multivariate analysis showed that GOO and chemotherapy were significant factors. Gastroduodenal stents were less effective for patients with severe stenosis or without poststenting chemotherapy.
authors: Departments of *Gastroenterological Surgery †Gastroenterology, Higashiosaka City General Hospital ‡Department of Surgery, National Hospital Organization Osaka National Hospital, Osaka, Japan.
authors: Shunji
authors: S
authors: Endo
authors: Terumasa
authors: T
authors: Yamada
authors: Masakazu
authors: M
authors: Ikenaga
authors: Ken
authors: K
authors: Konishi
authors: Katsuya
authors: K
authors: Ohta
authors: Kenichi
authors: K
authors: Matsumoto
authors: Hirotoshi
authors: H
authors: Takayama
authors: Ichizo
authors: I
authors: Kobayashi
authors: Haruki
authors: H
authors: Akamatsu
authors: Kazuyuki
authors: K
authors: Sasaki
authors: Jun
authors: J
authors: Murata
authors: Kazuhiro
authors: K
authors: Nishikawa
authors: Junichi
authors: J
authors: Nishijima
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D004435:Eating; D005260:Female; D005773:Gastroscopy / Q000379:methods*; D006801:Humans; D053208:Kaplan-Meier Estimate; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D011707:Pyloric Stenosis / Q000150:complications / Q000601:surgery*; D012189:Retrospective Studies; D015607:Stents; D013274:Stomach Neoplasms / Q000150:complications / Q000601:surgery*; D016896:Treatment Outcome