エンドウ　シュンジ   Shunji Endo   遠藤　俊治    所属   川崎医科大学  医学部 臨床医学　消化器外科学    職種   准教授
論文種別	原著
言語種別	英語
査読の有無	査読あり
表題	Prognostic Factors of Oral Intake After Endoscopic Gastroduodenal Stent Placement for Advanced Gastric Cancer.
掲載誌名	正式名：Surgical laparoscopy, endoscopy & percutaneous techniques 略　 称：Surg Laparosc Endosc Percutan Tech ISSNコード：15344908/15304515
掲載区分	国外
巻・号・頁	26(5),pp.368-371
著者・共著者	Endo Shunji, Yamada Terumasa, Ikenaga Masakazu, Konishi Ken, Ohta Katsuya, Matsumoto Kenichi, Takayama Hirotoshi, Kobayashi Ichizo, Akamatsu Haruki, Sasaki Kazuyuki, Murata Jun, Nishikawa Kazuhiro, Nishijima Junichi
担当区分	筆頭著者
発行年月	2016/10
概要	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.
DOI	10.1097/SLE.0000000000000307
PMID	27579982