Feeding jejunostomy: does the benefit overweight the risk (a retrospective study from a single centre).
Feeding jejunostomy: does the benefit overweight the risk (a retrospective study from a single centre).
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喂养空肠造口术：益处是否超过风险（来自单个中心的回顾性研究）。
DOI：
10.1016/j.ijsu.2010.05.009
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发表时间：
2010
影响因子：
15.3
通讯作者：
I. Irshad
中科院分区：
文献类型：
--
作者：
M. Wani;A. Ahangar;G. Lone;Shyam Singh;A. M. Dar;M. Bhat;R. Lone;I. Irshad
背景本研究的目的是评价食管癌患者行食道空肠吻合术的有效性和安全性，以及与此相关的并发症。方法对463例食道癌患者行食管胃切除术。所有患者均行Witzel11喂养空肠造口术进行术后肠内营养。术后24小时开始肠内喂养，并逐渐增加，直至达到目标热量和蛋白质水平。对实现的营养目标进行了综述。记录所有与空肠吻合术相关的并发症。结果研究包括463名接受择期食管胃切除术的患者。男性患者的平均年龄为58岁±88.4岁，女性患者为55岁±44.2岁。空肠造口喂养时间平均为19天±88.4天(10~49天)。408例(88.12%)患者在术后第3天达到了目标热量需求。导管堵塞是喂养过程中的主要并发症之一。结论喂饲式空肠吻合术是一种有效、安全、经济、耐受性好的为食管胃切除术患者提供营养的方法。所有接受食道切除术的患者在剖腹手术时均应行空肠吻合术。
BACKGROUNDThe purpose of this study was to review the efficacy and safety of feeding jejunostomy in terms of achieving the nutritional goals in patients undergoing esophagectomy for carcinoma of oesophagus and complications associated hence with.METHODSA total of 463 patients underwent esophagogastrectomy for carcinoma oesophagus during this period. All these patients underwent Witzel11feeding jejunostomy for post-operative enteral nutrition. Enteral feeding was started after 24 h of surgery and increased gradually till target caloric and protein value was achieved. Nutritional goals achieved were reviewed. All complications related to jejunostomy were recorded.RESULTSThe study comprised of 463 patients who underwent elective esophagogastrectomy. Mean age was 58 ± 8.4 in male patients and 55 ± 4.2 years in female patients. Patients spend a mean of 19 ± 8.4 (range 10–49) days on jejunostomy feed. The targeted calorie requirement was achieved by post-operative day 3 in 408 (88.12%) patients. The catheter blockage was one of the main complications during the course of feeding. Seven patients required relaparotomy for catheter blockage.CONCLUSIONFeeding jejunostomy is an effective, safe, economic and well tolerated method of providing nutrition to the patients of esophagogastrectomy. Feeding jejunostomy should be done in every patient undergoing esophagectomy at the time of laparotomy.