PT  - JOURNAL ARTICLE
AU  - KAZUYA TAKABATAKE
AU  - HIROTAKA KONISHI
AU  - TAKESHI KUBOTA
AU  - ATSUSHI SHIOZAKI
AU  - HITOSHI FUJIWARA
AU  - TAKUMA OHASHI
AU  - TOMOHIRO ARITA
AU  - HIROKI SHIMIZU
AU  - YUSUKE YAMAMOTO
AU  - RYO MORIMURA
AU  - HISASHI IKOMA
AU  - YOSHIAKI KURIU
AU  - KAZUMA OKAMOTO
AU  - EIGO OTSUJI
TI  - Postoperative Nutrition Status of Patients With Esophago-gastric Junction Cancer With Gastric Tube or Esophago-gastric Reconstruction
AID  - 10.21873/anticanres.15853
DP  - 2022 Jul 01
TA  - Anticancer Research
PG  - 3645--3652
VI  - 42
IP  - 7
4099  - http://ar.iiarjournals.org/content/42/7/3645.short
4100  - http://ar.iiarjournals.org/content/42/7/3645.full
SO  - Anticancer Res2022 Jul 01; 42
AB  - Background/Aim: Postoperative nutritional management for esophago-gastric junction cancer (EGJC) has become increasingly important. This study compared the nutritional status of patients with EGJC who underwent gastric tube reconstruction versus esophago-gastric anastomosis. Patients and Methods: Mediastinoscopic esophagectomy with gastric tube reconstruction was performed in 17 cases (group GT) and laparoscopic proximal gastrectomy with esophago-gastric anastomosis in 33 cases (group EG). The perioperative characteristics and nutritional status of the two groups in the 2 years postoperatively were compared. Results: Group GT had a significantly higher level of serum total protein at 24 months postoperatively than did group EG. No other significant differences in postoperative nutritional status were observed between the groups. Conclusion: Gastric tube reconstruction for EGJC was not inferior to esophago-gastric anastomosis in terms of nutritional status. It is a candidate surgical procedure to avoid higher mediastinal anastomosis.