Guo Y, Zhang M, Liu N, Meng XK, Li J. Comparing efficacy of a jejunostomy tube vs a nasojejunal nutrient tube after pancreatectomy. World J Gastrointest Surg 2026; 18(1): 113967 [DOI: 10.4240/wjgs.v18.i1.113967]
Corresponding Author of This Article
Jun Li, MD, Chief Physician, Department of Hepatobiliary Surgery, The Affiliated Hospital of Inner Mongolia Medical University, No. 1 North Road, Huimin District, Hohhot 010010, Inner Mongolia Autonomous Region, China. ljdoctor1982@163.com
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Gastroenterology & Hepatology
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Retrospective Study
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This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Jan 27, 2026 (publication date) through Jan 28, 2026
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Publication Name
World Journal of Gastrointestinal Surgery
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1948-9366
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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
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Guo Y, Zhang M, Liu N, Meng XK, Li J. Comparing efficacy of a jejunostomy tube vs a nasojejunal nutrient tube after pancreatectomy. World J Gastrointest Surg 2026; 18(1): 113967 [DOI: 10.4240/wjgs.v18.i1.113967]
World J Gastrointest Surg. Jan 27, 2026; 18(1): 113967 Published online Jan 27, 2026. doi: 10.4240/wjgs.v18.i1.113967
Comparing efficacy of a jejunostomy tube vs a nasojejunal nutrient tube after pancreatectomy
Yan Guo, Ming Zhang, Na Liu, Xing-Kai Meng, Jun Li
Yan Guo, Department of General Surgery, Inner Mongolia fourth Hospital, Hohhot 010000, Inner Mongolia Autonomous Region, China
Ming Zhang, Na Liu, Xing-Kai Meng, Jun Li, Department of Hepatobiliary Surgery, The Affiliated Hospital of Inner Mongolia Medical University, Hohhot 010010, Inner Mongolia Autonomous Region, China
Author contributions: Meng XK and Li J contributed to the study conception and design; Zhang M and Liu N performed data collection and illustration; Guo Y wrote the manuscript; all authors contributed to the article and approved the final submitted version. First, the main design of this project was completed by Meng XK and Li J, which makes our project more rigorous. Second, the choice of these researchers acknowledges and respects this equal contribution, while recognizing the spirit of teamwork and collaboration of this study.
Supported by Major Project Funding of the Hohhot First Hospital, No. 2022SYY (ZD) 01; Natural Science Foundation of Inner Mongolia Autonomous Region, No. 2023MS08056; Youth Innovation Team Project of the Affiliated Hospital of Inner Mongolia Medical University, No. QHQN202403; Inner Mongolia Medical University "Zhiyuan" Talent Program, No. ZY20242141; and Inner Mongolia Medical University Affiliated Hospital Young Key Personnel Program, No. 2022NYFYFG012.
Institutional review board statement: This study was reviewed and approved by the Medical Ethics Committee of Inner Mongolia Medical University Affiliated Hospital.
Informed consent statement: All study participants or their legal guardian provided informed written consent about personal and medical data collection prior to study enrolment.
Conflict-of-interest statement: We have no financial relationships to disclose.
Data sharing statement: Technical appendix, statistical code, and dataset available from the corresponding author at ljdoctor1982@163.com. Participants gave informed consent for data sharing.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Jun Li, MD, Chief Physician, Department of Hepatobiliary Surgery, The Affiliated Hospital of Inner Mongolia Medical University, No. 1 North Road, Huimin District, Hohhot 010010, Inner Mongolia Autonomous Region, China. ljdoctor1982@163.com
Received: September 9, 2025 Revised: October 8, 2025 Accepted: November 17, 2025 Published online: January 27, 2026 Processing time: 134 Days and 18.5 Hours
Abstract
BACKGROUND
Pancreatic surgery is highly invasive and associated with prolonged postoperative recovery. Safe, effective postoperative nutritional support is essential for patient recovery. The impact of two modes of nutritional support-jejunostomy tube (JT) and nasojejunal tube (NJT), on recovery after resolution of novel coronavirus infection has been rarely reported.
AIM
To compare the effects of JT with those of NJT after pancreatectomy.
METHODS
We retrospectively analyzed clinical data from 60 patients who underwent pancreatic surgery between January 2023 and May 2025 and classified them into an NJT group (n = 39) and a JT group (n = 21) according to the nutritional method used. Postoperative nutritional status and related complication rates were compared between the two groups.
RESULTS
No statistically significant differences were observed in sex, age, body mass index, preoperative hemoglobin level, or preoperative jaundice status between the two groups; postoperative pathologic type, incidence of delayed gastric emptying, time to transoral feeding, and time to defecation also did not differ (P > 0.05). The postoperative albumin level in the JT group was higher than in the NJT group, whereas the incidences of vomiting, pharyngeal discomfort, and hypostatic pneumonia, as well as the postoperative length of stay, were significantly lower (P < 0.05).
CONCLUSION
The use of JT for nutritional support after pancreatectomy is safe and effective, significantly reducing complication incidence and shortening postoperative length of stay; therefore, it is worthy of clinical selection and standardized use.
Core Tip: This study compared the effects of different enteral nutrition methods in patients undergoing pancreatic surgery after coronavirus disease 2019 infection and found that a jejunostomy tube is safer and more effective than a nasojejunostomy tube, significantly reducing the incidence of postoperative vomiting, pharyngeal discomfort, hypostatic pneumonia, and postoperative hospitalization time while ensuring nutritional support. These findings have significant clinical value and warrant broader clinical application.
