Abstract
Case 1 refers to a 53-year-old man who developed obstruction of the gastric tube due to recurrence in the mediastinal lymph nodes after surgery for advanced esophageal cancer. Percutaneous trans-esophageal gastro-tubing (PTEG) was placed and radiotherapy was performed, reducing the lymph metastasis. PTEG was subsequently able to be removed. Case 2 relates to a 76-year-old woman who developed stenosis at the cardia due to gallbladder cancer invasion. PTEG was placed with the objectives of allowing percutaneous transgastric jejunostomy and reducing pressure. However, since the patient frequently vomited viscous saliva and showed poor drainage of PTEG, a Clio Drain Vac (Sumitomo Bakelite Co., Ltd.) was connected to the PTEG. Tube obstruction was not observed and queasiness and vomiting also disappeared. We performed PTEG in patients with malignant stenosis of the cardia or lower esophageal stenosis, and achieved removal of tubing after radiotherapy in 1 case and symptom control with application of negative pressure to the tube in the other. Here, we report our experience with these cases, along with a review of the literature.
