Shunji Endo    Department   Kawasaki Medical School  Kawasaki Medical School, Department of Digestive Surgery,    Position   Associate Professor
Article types	原著
Language	English
Peer review	Peer reviewed
Title	Prognostic Factors of Oral Intake After Endoscopic Gastroduodenal Stent Placement for Advanced Gastric Cancer.
Journal	Formal name：Surgical laparoscopy, endoscopy & percutaneous techniques Abbreviation：Surg Laparosc Endosc Percutan Tech ISSN code：15344908/15304515
Domestic / Foregin	Foregin
Volume, Issue, Page	26(5),pp.368-371
Author and coauthor	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
Authorship	Lead author
Publication date	2016/10
Summary	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