Anticancer research · 2018
Comparison of Feeding Jejunostomy via Gastric Tube Versus Jejunum After Esophageal Cancer Surgery.
Сравнительное исследованиеСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Konishi Tomoki, Shiozaki Atsushi, Fujiwara Hitoshi, Konishi Hirotaka, Takemoto Kenichi, Kudou Michihiro, Shoda Katsutoshi, Arita Tomohiro, Kosuga Toshiyuki, Morimura Ryo, Murayama Yasutoshi, Kuriu Yoshiaki, Ikoma Hisashi, Kubota Takeshi, Nakanishi Masayoshi, Okamoto Kazuma, Otsuji Eigo
Аннотация
BACKGROUND: Jejunostomy is an essential route for nutritional support after esophageal cancer surgery. However, catheter-related complications may occur. This study compared the complications of feeding jejunostomy between gastric tube and jejunum after esophageal cancer surgery.
PATIENTS AND METHODS: The records of 215 patients with esophageal cancer who underwent radical esophagectomy with retrosternal gastric tube reconstruction between January 2010 and November 2016 were examined. One hundred and thirty-three patients underwent feeding jejunostomy via gastric tube and 82 patients underwent the procedure via the jejunum, and their records were reviewed for catheter-related complications.
RESULTS: Catheter-related complications occurred in five patients in the gastric tube group and 12 in the jejunum group (3.8% vs. 14.6%, p=0.005). Mechanical bowel obstruction requiring surgical therapy occurred in three patients in the jejunum group, but in none in the gastric tube group (p=0.026).
CONCLUSION: Feeding jejunostomy reconstruction via gastric tube appears to be a safe and useful procedure.
PATIENTS AND METHODS: The records of 215 patients with esophageal cancer who underwent radical esophagectomy with retrosternal gastric tube reconstruction between January 2010 and November 2016 were examined. One hundred and thirty-three patients underwent feeding jejunostomy via gastric tube and 82 patients underwent the procedure via the jejunum, and their records were reviewed for catheter-related complications.
RESULTS: Catheter-related complications occurred in five patients in the gastric tube group and 12 in the jejunum group (3.8% vs. 14.6%, p=0.005). Mechanical bowel obstruction requiring surgical therapy occurred in three patients in the jejunum group, but in none in the gastric tube group (p=0.026).
CONCLUSION: Feeding jejunostomy reconstruction via gastric tube appears to be a safe and useful procedure.