Evidence map›Paper›PMID 30746231›Full record

ArticleJournal of thoracic disease2018

Evaluation of the need for routine feeding jejunostomy for enteral nutrition after esophagectomy.

Yuji Akiyama, Takeshi Iwaya, Fumitaka Endo, Haruka Nikai, Kei Sato, Shigeaki Baba, Takehiro Chiba, Toshimoto Kimura, Takeshi Takahara, Hiroyuki Nitta and 5 more

Open access · hybridAbstract read
In one paragraph

Article in Journal of thoracic disease, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
4.7field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 34 citations in OpenAlex.

  1. 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 · 2020
    Trial
  2. Observational
  3. Article
  4. Article
  5. Article
  6. Article
  7. Efficacy of enhanced prehabilitation for patients with esophageal cancer undergoing esophagectomy.Esophagus : official journal of the Japan Esophageal Society · 2021
    Article
  8. Feeding jejunostomy in upper gastrointestinal resections: a UK-wide survey.Annals of the Royal College of Surgeons of England · 2020
    Article
  9. Review
  10. Observational
  11. Article
  12. Jejunostomy-technique and controversies.Journal of visualized surgery · 2019
    Article
  13. Article
  14. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 1 institution in 1 country.

Yuji AkiyamaDepartment of Surgery, Iwate Medical University School of Medicine, Iwate, Japan.
Takeshi IwayaDepartment of Surgery, Iwate Medical University School of Medicine, Iwate, Japan.
Fumitaka EndoDepartment of Surgery, Iwate Medical University School of Medicine, Iwate, Japan.
Haruka NikaiDepartment of Surgery, Iwate Medical University School of Medicine, Iwate, Japan.
Kei SatoDepartment of Surgery, Iwate Medical University School of Medicine, Iwate, Japan.
Shigeaki BabaDepartment of Surgery, Iwate Medical University School of Medicine, Iwate, Japan.
Takehiro ChibaDepartment of Surgery, Iwate Medical University School of Medicine, Iwate, Japan.
Toshimoto KimuraDepartment of Surgery, Iwate Medical University School of Medicine, Iwate, Japan.
Takeshi TakaharaDepartment of Surgery, Iwate Medical University School of Medicine, Iwate, Japan.
Hiroyuki NittaDepartment of Surgery, Iwate Medical University School of Medicine, Iwate, Japan.
Koki OtsukaDepartment of Surgery, Iwate Medical University School of Medicine, Iwate, Japan.
Masaru MizunoDepartment of Surgery, Iwate Medical University School of Medicine, Iwate, Japan.
Yusuke KimuraDepartment of Palliative Medicine, Iwate Medical University School of Medicine, Iwate, Japan.
Keisuke KoedaDepartment of Medical Safety Science, Iwate Medical University School of Medicine, Iwate, Japan.
Akira SasakiDepartment of Surgery, Iwate Medical University School of Medicine, Iwate, Japan.
Iwate Medical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrevious studies have shown that enteral nutrition (EN) helps reduce severe postoperative complications after esophagectomy. However, the incidence of jejunostomy-related complications is approximately 30%. We evaluated the operative outcomes in patients who did not receive EN via feeding jejunostomy after esophagectomy.

methodsWe retrospectively reviewed 76 consecutive patients with esophageal cancer who received radical esophagectomy. Operative outcomes were compared between 33 patients who received postoperative EN via feeding jejunostomy (group A; from May 2014 to September 2015) and 43 patients who did not receive EN via feeding jejunostomy (group B; from September 2015 to December 2017).

resultsThe American Society of Anesthesiologists performance status score of the patients in group B was significantly higher than that of patients in group A (P=0.002). The postoperative morbidity rate was comparable between the two groups (group A, 30.3%

conclusionsJejunostomy-related bowel obstruction in the patients with feeding jejunostomy was significantly higher than that in the patients without jejunostomy. There was no increase in postoperative complications (including pneumonia) in the patients who did not receive EN via feeding jejunostomy. Our results suggest that routine feeding jejunostomy may not be necessary for all patients undergoing esophagectomy.

Indexed as

Enteral nutrition (EN)esophageal canceresophagectomyjejunostomy

Identifiers

PMID30746231
PMCPMC6344777
OpenAlexW2903177797

What OpenQuestion holds

Textmetadata
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.