Academic Journal
PS02.191: CLINICAL SIGNIFICANCE OF JEJUNOSTOMY CATHETER FEEDING AFTER ESOPHAGECTOMY
| العنوان: | PS02.191: CLINICAL SIGNIFICANCE OF JEJUNOSTOMY CATHETER FEEDING AFTER ESOPHAGECTOMY |
|---|---|
| المؤلفون: | Matsuyama, Jin, Tamura, Shigeyuki, Nagai, Kenichi, Imamura, Hiroki, Yagi, Yuriko, Mokutani, Yukako, Hashimoto, Yasuji, Hirose, Hajime, Ide, Yoshihito, Kubota, Masaru, Sasaki, Yo, Ikenaga, Masakazu, Yamada, Terumasa |
| المصدر: | Diseases of the Esophagus ; volume 31, issue Supplement_1, page 176-176 ; ISSN 1120-8694 1442-2050 |
| بيانات النشر: | Oxford University Press (OUP) |
| سنة النشر: | 2018 |
| الوصف: | Background Various attempts have been reported as nutritional therapy in the treatment of esophageal cancer, but there is not enough evidence. Preparing jejunostomy catheter during esophagectomy may allow early nutritional management after surgery, and may continue after leaving hospital. On the other hand, peri-operative chemotherapy or chemoradiotherapy are frequently performed in esophageal cancer treatment, and postoperative malnutrition may become a problem. Postoperative malnutrition affects treatment outcome, such as delaying recovery and difficulty of continuing treatment after surgery. Methods We considered that postoperative treatment can be continued while restoring and maintaining postoperative nutritional status by placing jejunostomy catheter during esophagectomy and we examined the safety and treatment outcome of the procedure. Results Out of 76 cases of thoracic esophageal cancer surgery from January 2008 to December 2017, 59 cases(77.6%) of jejunostomy catheter were prepared. The median age was 69 years old(50–82), cStageI/II/III/IV was 7/16/33/3 cases respectively, and 25 cases(42.4%) administered neoadjuvant chemotherapy. There was no complication of surgery related to preparing jejunostomy catheter, but 1 tube bending(1.7%), tube deviation in 3 cases(5.1%) and tube occlusion in 5 cases(8.5%) were confirmed during feeding period. The median day of start feeding was 2 days after surgery(1–12), the transition to home jejunostomy feeding was carried out in 45 cases(76.3%), the median period of feeding was 55 days(4- 521), and the median of caloric value was 400Kcal/day(200- 200). Postoperative chemotherapy and chemoradiotherapy were performed in 11 cases(14.5%), jejunostomy feeding was prepared in 10 cases(90.9%), nine cases(90%) continued feeding after leaving hospital. The median duration of jejunal catheter feeding was 71 days(21–101) and the median caloric value was 400Kcal/day(200 - 800). Conclusion Surgery for esophageal cancer is invasive, and in addition to malnutrition from ... |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| DOI: | 10.1093/dote/doy089.ps02.191 |
| الاتاحة: | https://doi.org/10.1093/dote/doy089.ps02.191 http://academic.oup.com/dote/article-pdf/31/Supplement_1/176/29398062/doy089.ps02.191.pdf |
| Rights: | https://academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model |
| رقم الانضمام: | edsbas.4ABB250E |
| قاعدة البيانات: | BASE |
| DOI: | 10.1093/dote/doy089.ps02.191 |
|---|