ArticleJournal of thoracic disease2017
Routine jejunostomy tube feeding following esophagectomy.
Article in Journal of thoracic disease, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it, 52 citations in OpenAlex.
- Is Robotic Surgery the Future for Resectable Esophageal Cancer?: A Systematic Literature Review of Oncological and Clinical Outcomes.Annals of surgical oncology · 2024Pooled it
- Single-Center Randomized Trial Comparing Feeding Jejunostomy with Nasojejunal Tube Placement in Patients Undergoing Transhiatal Esophagectomy Post-Neoadjuvant Therapy for Esophageal Cancer.Journal of gastrointestinal cancer · 2024Trial
- A Prospective Randomized Trial Comparing Jejunostomy and Nasogastric Feeding in Minimally Invasive McKeown Esophagectomy.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2020Trial
- Predictive factors for prolonged nutritional support after oesophagogastric cancer resection.Annals of the Royal College of Surgeons of England · 2026Article
- Routine jejunostomy feeding after esophagectomy reduces early weight loss: a cohort study.Langenbeck's archives of surgery · 2026Article
- Article
- Routine use of jejunostomy tubes after esophagectomy: The good, the bad, and the ugly!JTCVS open · 2025Article
- Intensified outpatient nutrition management improves body weight and skeletal muscle loss after esophageal cancer surgery: a single-center, retrospective, single-arm clinical study.Langenbeck's archives of surgery · 2024Article
- Risk factors contributing to morbidity associated with feeding tubes placed for esophageal cancer patients undergoing esophagectomy: a single-center retrospective study.Journal of gastrointestinal oncology · 2024Article
- Feeding Jejunostomy Tube in Patients Undergoing Esophagectomy: Utilization and Outcomes in a Nationwide Cohort.World journal of surgery · 2023Article
- ERAS guidelines-driven upper gastrointestinal contrast study after esophagectomy can detect delayed gastric conduit emptying and improve outcomes.Surgical endoscopy · 2023Article
- Nutritional jejunostomy in esophagectomy for cancer, a national register-based cohort study of associations with postoperative outcomes and survival.Langenbeck's archives of surgery · 2021Article
- Outcomes of Esophageal Cancer after Esophagectomy in the Era of Early Injection Laryngoplasty.Diagnostics (Basel, Switzerland) · 2021Article
- Incarcerated paraoesophageal hernia complicated with distal oesophageal perforation: a combined laparoscopic and endoscopic approach.BMJ case reports · 2021Article
- [Perioperative enhanced recovery after surgery program for Ivor Lewis esophagectomy : First experiences of a high-volume center].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2021Observational
- Severe weight loss after minimally invasive oesophagectomy is associated with poor survival in patients with oesophageal cancer at 5 years.BMC gastroenterology · 2020Article
- Article
- Risk factors of post-esophagectomy-induced malnutrition.Journal of thoracic disease · 2019Article
- Securing enteral nutrition with routine feeding jejunostomy after esophagectomy: lost effort or a life saver?Journal of thoracic disease · 2019Article
- Evaluation of the need for routine feeding jejunostomy for enteral nutrition after esophagectomy.Journal of thoracic disease · 2018Article
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMalnutrition is an important problem following esophagectomy. A surgically placed jejunostomy secures an enteral feeding route, facilitating discharge with home-tube feeding and long-term nutritional support. However, specific complications occur, and data are lacking that support its use over other enteral feeding routes. Therefore routine jejunostomy tube feeding and discharge with home-tube feeding was evaluated, with emphasis on weight loss, length of stay and re-admissions.
methodsConsecutive patients undergoing esophagectomy for cancer, with gastric tube reconstruction and jejunostomy creation, were analyzed. Two different regimens were compared. Before January 07, 2011 patients were discharged when oral intake was sufficient, without tube feeding. After that discharge with home-tube feeding was routinely performed. Logistic regression analysis corrected for confounders.
resultsSome 236 patients were included. The median duration of tube feeding was 35 days. Reoperation for a jejunostomy-related complication was needed in 2%. The median body mass index (BMI) remained stable during tube feeding. The BMI decreased significantly after stopping tube feeding: from 25.6 (1st-3rd quartile 23.0-28.6) kg/m
conclusionsWeight loss following esophagectomy occurs once that tube feeding is stopped, independently from the time interval after esophagectomy. Moreover routine discharge with home-tube feeding does not reduce length of stay or readmissions. These findings question the value of routine jejunostomy placement and emphasize the need for further research.
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