Influences of thoracic duct blockage on early enteral nutrition for patients who underwent esophageal cancer surgery

2003 ◽  
Vol 51 (7) ◽  
pp. 263-271 ◽  
Author(s):  
Satoshi Aiko ◽  
Yutaka Yoshizumi ◽  
Tomokazu Matsuyama ◽  
Yoshiaki Sugiura ◽  
Tadaaki Maehara
Keyword(s):  
Esophageal Cancer ◽  
Enteral Nutrition ◽  
Thoracic Duct ◽  
Cancer Surgery ◽  
Early Enteral Nutrition ◽  
Esophageal Cancer Surgery

Outcomes of nutritional jejunostomy in the curative treatment of esophageal cancer

2018 ◽  
Vol 32 (7) ◽  
Author(s):  
F Klevebro ◽  
A Johar ◽  
J Lagergren ◽  
P Lagergren
Keyword(s):  
Weight Loss ◽  
Esophageal Cancer ◽  
Hospital Stay ◽  
Cox Regression ◽  
Gastroesophageal Junction ◽  
Length Of Hospital Stay ◽  
Cancer Surgery ◽  
Early Enteral Nutrition ◽  
Esophageal Cancer Surgery ◽  
Increased Risk

SUMMARY Substantial weight loss and eating problems are common before and after esophagectomy for cancer. The use of jejunostomy might prevent postoperative weight loss, but studies evaluating other outcomes are scarce. This study aims to assess the influence of jejunostomy on postoperative health-related quality of life (HRQOL), complications, reoperation, hospital stay, and survival. This prospective and population-based cohort study included all patients operated on for esophageal or gastroesophageal junction cancer in Sweden in 2001–2005 with follow-up until 31st December 2016. Data regarding patient and tumor characteristics and treatment were prospectively collected. Multivariable logistic regression provided odds ratios (OR) with 95% confidence intervals (CI), whereas Cox regression provided hazard ratios with 95% CI. All risk estimates were adjusted for age, sex, tumor histology, stage, comorbidity, surgical approach, neoadjuvant therapy, and body mass index and weight loss at baseline. Among 397 patients, 181 (46%) received a jejunostomy during surgery. The use of jejunostomy did not influence the HRQOL at 6 months or 3 years after treatment. Jejunostomy users had no statistically significantly increased risk of postoperative complications (OR 1.27; 95% CI 0.86–1.87) or reoperation (OR 1.70; 95% CI 0.88–3.28). Intensive unit care and length of hospital stay was the same independent of the use of jejunostomy. The all-cause mortality was not increased in the jejunostomy group (HR 0.89, 95% CI: 0.74–1.07). This study indicates that jejunostomy does not influence postoperative HRQOL, complications, or survival after esophageal cancer surgery, it can be considered a safe method for early enteral nutrition after esophageal cancer surgery but benefits for the patients need further investigations.

Beneficial Effects of Immediate Enteral Nutrition After Esophageal Cancer Surgery

Surgery Today ◽  
2001 ◽  
Vol 31 (11) ◽  
pp. 971-978 ◽  
Author(s):  
Satoshi Aiko ◽  
Yutaka Yoshizumi ◽  
Yoshiaki Sugiura ◽  
Tomokazu Matsuyama ◽  
Yoshihisa Naito ◽  
...  
Keyword(s):  
Esophageal Cancer ◽  
Enteral Nutrition ◽  
Cancer Surgery ◽  
Beneficial Effects ◽  
Esophageal Cancer Surgery
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