A case of gastric cancer with gastric outlet obstruction in which a W‐ED^® Tube was placed and gastrectomy was performed after neoadjuvant chemotherapy

Abstract

A 68‐year‐old man was referred to our department because he was diagnosed with gastric antrum cancer with advanced lymph node metastasis during an examination for epigastric pain. Pyloric stenosis due to the tumor obstructed the passage, making oral intake difficult. Therefore, a W‐ED^® tube was placed, which has a double‐tube structure where one lumen is for gastric decompression and the other is for enteral nutrition. Enteral nutrition became possible by indwelling, and after completing 2 courses of neoadjuvant chemotherapy for advanced gastric cancer, distal gastrectomy （D2） was performed, and early discharge was possible. The W‐ED^® tube is useful for multidisciplinary treatment of gastric cancer with pyloric stenosis because it can be placed in a minimally invasive manner.