ArticleJournal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract2022
Clinical Benefits of Routine Feeding Jejunostomy Tube Placement in Patients Undergoing Esophagectomy.
Article in Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 12 citations in OpenAlex.
- ASO Author Reflections: Feeding Duodenostomy After Minimally Invasive Esophagectomy.Annals of surgical oncology · 2026Article
- Feeding Duodenostomy Tube Placement After Minimally Invasive Esophagectomy with Posterior Mediastinal Reconstruction.Annals of surgical oncology · 2026Article
- Safe introduction of hinotori™ for robot-assisted minimally invasive esophagectomy as the second robotic system.Surgical endoscopy · 2026Article
- Routine jejunostomy feeding after esophagectomy reduces early weight loss: a cohort study.Langenbeck's archives of surgery · 2026Article
- Clinical benefits and controversies of jejunostomy feeding in patients undergoing gastrectomy for gastric cancer.World journal of gastrointestinal surgery · 2025Article
- Routine use of jejunostomy tubes after esophagectomy: The good, the bad, and the ugly!JTCVS open · 2025Article
- Machine learning and the nomogram as the accurate tools for predicting postoperative malnutrition risk in esophageal cancer patients.Frontiers in nutrition · 2025Article
- 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
- Jejunostomy feeding plus oral feeding versus intravenous nutrition plus oral feeding after esophageal cancer resection: a comparative retrospective cohort study.Journal of thoracic disease · 2024Article
- Feeding Jejunostomy Tube in Patients Undergoing Esophagectomy: Utilization and Outcomes in a Nationwide Cohort.World journal of surgery · 2023Article
- Feeding via duodenostomy can reduce intestinal obstruction after radical resection of esophageal cancer better than jejunostomy.Journal of gastrointestinal oncology · 2023Article
- Routine Feeding Jejunostomy Tube in Patients Undergoing Esophagectomy: Do the Advantages Outweigh the Disadvantages?Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2022Article
Corrections and comments
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundRoutine placement of a feeding jejunostomy tube (FJT) following esophagectomy remains controversial due to the risk of complications including small bowel obstruction (SBO). This study aimed to evaluate FJT placement following esophagectomy.
methodsThis retrospective cohort study included consecutive 229 patients undergoing thoracoscopic esophagectomy between January 2010 and June 2020. Short-term outcomes, postoperative nutritional status, incidence of SBO, and long-term outcomes were compared between patients according to FJT placement.
resultsThe total operative duration was significantly longer in the FJT group compared to the no FJT group (P < 0.0001); however, no differences in overall or severe postoperative morbidity were observed. Body weight loss at discharge was significantly attenuated in patients with FJT (5% vs 7%, P = 0.001). Serum cholinesterase levels were significantly higher in patients with FJT (P = 0.002), while no difference was observed in serum albumin levels. At 6-month follow-up, no statistically significant differences were observed in serological markers or percentage body weight. The incidence of SBO was significantly higher in the FJT group (P = 0.006). The 5-year incidence of SBO was 12%. Patients in the FJT group had higher progression-free and overall survival compared to patients in the no FJT group (P = 0.041 and P = 0.033, respectively). A similar trend toward better survival in the FJT group was observed after propensity score matching.
conclusionsRoutine placement of FJT significantly improves postoperative nutritional status and may contribute to improved long-term survival but is associated with increased long-term risk of SBO.
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