USE OF A FEEDING JEJUNOSTOMY AFTER ESOPHAGOGASTRIC SURGERY

被引:30
作者
WAKEFIELD, SE [1 ]
MANSELL, NJ [1 ]
BAIGRIE, RJ [1 ]
DOWLING, BL [1 ]
机构
[1] NORTHAMPTON GEN HOSP,DEPT SURG,NORTHAMPTON NN1 5BD,ENGLAND
关键词
D O I
10.1002/bjs.1800820629
中图分类号
R61 [外科手术学];
学科分类号
摘要
Over a 5-year period, 58 patients with oesophageal or gastric malignancy underwent surgical resection with oesophagogastric or oesophagojejunal anastomosis. All were fed temporarily with a catheter feeding jejunostomy placed at the time of surgery. All patients tolerated the feeding well. There were no catheter-related deaths and only one serious complication, formation of an abscess following catheter dislodgement. Experience with this technique suggests that it is a safe and cheap method of feeding patients after oesophagogastric surgery. Such patients are particularly suitable for a feeding jejunostomy as they are frequently malnourished, rarely have prolonged postoperative ileus and may develop complications that delay the onset of oral intake.
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页码:811 / 813
页数:3
相关论文
共 17 条
[1]  
Adams S, Dellinger EP, Wertz MJ, Oreskovich MR, Simonowitz D, Johansen L, Enteral versus parenteral nutritional support following laparotomy for trauma: a randomized prospective trial, J Trauma, 26, pp. 882-891, (1986)
[2]  
Moore EE, Jones TN, Benefits of immediate jejunostomy feeding after major abdominal trauma: a prospective, randomized study, J Trauma, 26, pp. 874-881, (1986)
[3]  
Bower RH, Talamini MA, Sax HC, Hamilton F, Fischer JE, Postoperative enteral vs parenteral nutrition. A randomized controlled trial, Arch Surg, 121, pp. 1040-1045, (1986)
[4]  
Cade RJ, Feeding jejunostomy: is its routine use in major upper gastrointestinal surgery justified?, Aust N Z J Surg, 60, pp. 621-623, (1990)
[5]  
Smith-Choban P, Max MH, Feeding jejunostomy: a small bowel stress test?, The American Journal of Surgery, 155, pp. 112-117, (1988)
[6]  
Adams MB, Seabrook GR, Quebbeman EA, Condon RE, Jejunostomy. A rarely indicated procedure, Arch Surg, 121, pp. 236-238, (1986)
[7]  
Cogen R, Weinryb J, Pomerantz C, Fenstemacher P, Complications of jejunostomy tube feeding in nursing facility patients, Am J Gastroenterol, 86, pp. 1610-1613, (1991)
[8]  
Weltz CR, Morris JB, Mullen JL, Surgical jejunostomy in aspiration risk patients, Ann Surg, 215, pp. 140-145, (1992)
[9]  
Butsch JL, A knotty problem with a feeding jejunostomy tube, Arch Surg, 121, (1986)
[10]  
Brotman S, Marshall WJ, Complications from needle catheter jejunostomy in post‐traumatic surgery, Contemporary Surgery, 27, pp. 52-56, (1985)