Abstract：
We reported a case of an advanced gastric cancer patient with gastric outlet obstruction and malnutrition who successfully underwent neoadjuvant chemotherapy with enteral feeding. The patient is a 72-year-old man. The diagnosis was advanced gastric cancer with pyloric stenosis. Both decompression and enteral nutrition was performed with a W-ED®. Chemotherapy was markedly effective and nutritional status improved. He underwent robot-assisted distal gastrectomy(D2)and Billroth Ⅱ reconstruction under good nutritional status after neoadjuvant chemotherapy with intragastric decompression and nutritional management using a W-ED® tube. W-ED® tube is a useful tool for the proper nutritional management of patients with advanced gastric cancer who have pyloric stenosis by adequate decompression and enteral feeding.
摘要：
我们报告了一例晚期胃癌患者，患有胃出口梗阻和营养不良，成功接受了肠内营养的新辅助化疗。病人是一名72岁的男子。诊断为晚期胃癌伴幽门狭窄。使用W-ED®进行减压和肠内营养。化疗效果明显，营养状况改善。他在良好的营养状况下接受了机器人辅助的远端胃切除术（D2）和BillrothⅡ重建，在新辅助化疗后，使用W-ED®管进行了胃减压和营养管理。W-ED®管是通过充分减压和肠内喂养对患有幽门狭窄的晚期胃癌患者进行适当营养管理的有用工具。
