Abstract:

Objective To analyze the effect of esophageal stent and percutaneous gastrostomy in the treatment of esophageal malignant obstruction. Method 70 patients with esophageal cancer obstruction admitted to Renhuai People's Hospital from January 2020 to December 2021 were selected and divided into two groups according to different treatment methods, 35 patients in each group. The patients in the control group were treated with esophageal stent implantation, while the patients in the study group were treated with percutaneous gastrostomy under the guidance of computed tomography. The level of nutritional indicators, recovery of related indicators and complications were compared between the two groups. Result The body mass index, serum albumin, prealbumin and hemoglobin levels in the study group were significantly higher than those in the control group (P ＜ 0.05).

The operation time of the patients in the study group was shorter than that in the control group, the amount of intraoperative bleeding was less than that in the control group, and the postoperative pain score was lower than that in the control group, and the quality of life score was higher than that in the control group, with significant differences (P ＜ 0.05). The patients in both groups had a high tolerance during the operation. The operation was carried out smoothly. The success rate of the operation was 100%. There were no fatal serious complications. The patient's condition and vital signs were stable after the operation. There were no serious complications in the two groups, such as fistula exchange catheter falling off, massive hemorrhage, gastrointestinal injury, etc. The total incidence of complications in the study group was 20.00% (7/35), and 22.86% (8/35) in the control group,there was no significant difference (χ2=3.426,P=0.386). Conclusion In the treatment of esophageal obstruction, percutaneous gastrostomy is more effective than esophageal stent in improving patients' nutritional indicators, and has higher clinical safety.

Key words: Esophageal obstruction, Esophageal stent, Percutaneous gastrostomy, Application effect