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Utility of Nasogastric Tube for Medical and Surgical Oncology of Gastric Cancer: A Prospective Institutional Study on a New and Precious Application of an Old and Economic Device.

Abstract Concerning gastric cancer (GC), nasogastric tube (NGT) is routinely employed for peri-operative decompression and palliative enteral nutrition. Additionally, we believe to have found a further application.
PMID
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Authors

Mayor MeshTerms
Keywords

Nasogastric tube

gastric cancer

gastric cancer cytopathology

gastric cancer oncology

gastric lavage

Journal Title anticancer research
Publication Year Start

 



PMID- 29277806
OWN - NLM
STAT- MEDLINE
DCOM- 20180104
LR  - 20180104
IS  - 1791-7530 (Electronic)
IS  - 0250-7005 (Linking)
VI  - 38
IP  - 1
DP  - 2018 Jan
TI  - Utility of Nasogastric Tube for Medical and Surgical Oncology of Gastric Cancer: 
      A Prospective Institutional Study on a New and Precious Application of an Old and
      Economic Device.
PG  - 433-439
AB  - BACKGROUND/AIM: Concerning gastric cancer (GC), nasogastric tube (NGT) is
      routinely employed for peri-operative decompression and palliative enteral
      nutrition. Additionally, we believe to have found a further application. PATIENTS
      AND METHODS: Between April 2012 and April 2017, 96 GC patients received
      preoperative nasogastric lavage (GL). All samples were cytologically examined to 
      detect the presence (GL1) or absence (GL0) of malignant cells. Data were analyzed
      with classificatory, staging and prognostic purpose. RESULTS: GL1 was detected in
      46 GC patients: association with tumor depth, lymph node and distant metastasis, 
      lymphovascular and peri-neural invasion, diffuse type and signet-ring cells was
      significant (respectively p=0.0274, 0.0324, 0.0446, 0.0287, <0.0001, 0.0413,
      <0.0001). GL1 entailed significantly poorer overall (OS), progression-free,
      disease-free survival and tumor progression (18 vs. 32 months). At multivariate
      analysis, GL1 was an independent prognostic factor for worse OS (p=0.0287).
      CONCLUSION: NGT seems an economic oncologic measure useful for obtaining
      information on GC staging and prognosis.
CI  - Copyright(c) 2018, International Institute of Anticancer Research (Dr. George J. 
      Delinasios), All rights reserved.
FAU - Virgilio, Edoardo
AU  - Virgilio E
AD  - Medical and Surgical Sciences and Translational Medicine, Faculty of Medicine and
      Psychology "Sapienza", St. Andrea Hospital, Rome, Italy [email protected]
      ed[email protected]
FAU - Balducci, Genoveffa
AU  - Balducci G
AD  - Medical and Surgical Sciences and Translational Medicine, Faculty of Medicine and
      Psychology "Sapienza", St. Andrea Hospital, Rome, Italy.
FAU - Mercantini, Paolo
AU  - Mercantini P
AD  - Medical and Surgical Sciences and Translational Medicine, Faculty of Medicine and
      Psychology "Sapienza", St. Andrea Hospital, Rome, Italy.
FAU - Giarnieri, Enrico
AU  - Giarnieri E
AD  - Department of Clinical and Molecular Medicine, Faculty of Medicine and
      Psychology, University "Sapienza", St. Andrea Hospital, Rome, Italy.
FAU - Giovagnoli, Maria Rosaria
AU  - Giovagnoli MR
AD  - Department of Clinical and Molecular Medicine, Faculty of Medicine and
      Psychology, University "Sapienza", St. Andrea Hospital, Rome, Italy.
FAU - Montagnini, Monica
AU  - Montagnini M
AD  - Department of Clinical and Molecular Medicine, Faculty of Medicine and
      Psychology, University "Sapienza", St. Andrea Hospital, Rome, Italy.
FAU - Proietti, Antonella
AU  - Proietti A
AD  - Department of Clinical and Molecular Medicine, Faculty of Medicine and
      Psychology, University "Sapienza", St. Andrea Hospital, Rome, Italy.
FAU - D'Urso, Rosaria
AU  - D'Urso R
AD  - Department of Clinical and Molecular Medicine, Faculty of Medicine and
      Psychology, University "Sapienza", St. Andrea Hospital, Rome, Italy.
FAU - Cavallini, Marco
AU  - Cavallini M
AD  - Medical and Surgical Sciences and Translational Medicine, Faculty of Medicine and
      Psychology "Sapienza", St. Andrea Hospital, Rome, Italy.
LA  - eng
PT  - Journal Article
PL  - Greece
TA  - Anticancer Res
JT  - Anticancer research
JID - 8102988
SB  - IM
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Disease-Free Survival
MH  - Female
MH  - Gastric Lavage/*methods
MH  - Humans
MH  - Intubation, Gastrointestinal/*methods
MH  - Male
MH  - Middle Aged
MH  - Neoplasm Staging/*methods
MH  - Prospective Studies
MH  - Stomach Neoplasms/mortality/*pathology/*therapy
OTO - NOTNLM
OT  - *Nasogastric tube
OT  - *gastric cancer
OT  - *gastric cancer cytopathology
OT  - *gastric cancer oncology
OT  - *gastric lavage
EDAT- 2017/12/27 06:00
MHDA- 2018/01/05 06:00
CRDT- 2017/12/27 06:00
PHST- 2017/11/07 00:00 [received]
PHST- 2017/11/15 00:00 [revised]
PHST- 2017/11/17 00:00 [accepted]
PHST- 2017/12/27 06:00 [entrez]
PHST- 2017/12/27 06:00 [pubmed]
PHST- 2018/01/05 06:00 [medline]
AID - 38/1/433 [pii]
AID - 10.21873/anticanres.12241 [doi]
PST - ppublish
SO  - Anticancer Res. 2018 Jan;38(1):433-439. doi: 10.21873/anticanres.12241.