Complications associated with enteral nutrition using catheter jejunostomy after esophagectomy.

Abstract:

:The present study was conducted on 78 patients, encountered over a 7-year period, who had a catheter-feeding jejunostomy placed at the time of thoracoabdominal esophagectomy for esophageal cancer. A broad-based attachment of the jejunal wall to the peritoneum at the place of entry of the catheter was used. Enteral nutrition was begun an average of 10 days after the operation, the caloric content was increased gradually, and the mean duration was 69 days. There were three patients who suffered from local skin erosion at the site of catheter entry, and seven who developed diarrhea and/or a feeling of abdominal fullness, but none of the patients showed any signs of peritonitis or ileus. The morbidity rates related to enteral nutrients and placement of the catheter jejunostomy were 8.9% and 3.8%, respectively. These findings demonstrate that a broad-based attachment of the jejunal wall to the peritoneum at the place of entry of the catheter is useful for preventing leakage or twisting of the jejunum, and for reducing the incidence and severity of the complications of catheter jejunostomy feeding.

journal_name

Surg Today

journal_title

Surgery today

authors

Yagi M,Hashimoto T,Nezuka H,Ito H,Tani T,Shimizu K,Miwa K

doi

10.1007/BF02483009

subject

Has Abstract

pub_date

1999-01-01 00:00:00

pages

214-8

issue

3

eissn

0941-1291

issn

1436-2813

pii

10.1007/BF02483009

journal_volume

29

pub_type

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