Copyright
©The Author(s) 2017.
World J Gastrointest Surg. Feb 27, 2017; 9(2): 53-60
Published online Feb 27, 2017. doi: 10.4240/wjgs.v9.i2.53
Published online Feb 27, 2017. doi: 10.4240/wjgs.v9.i2.53
Table 1 Comparison of complications within thirty days by grade n (%)
| Complication | Subtotal gastrectomy (n = 63) | Total gastrectomy (n = 42) | Esophagectomy (n = 182) |
| None | 45 (71.4) | 20 (47.6) | 91 (50.0) |
| Low-grade | 10 (15.9) | 4 (9.5) | 32 (17.6) |
| High-grade | 8 (12.7) | 15 (35.7) | 54 (29.7) |
| Overall mortality | 0 (0.0) | 3 (7.1) | 5 (2.7) |
| Tube-related complications | 0 | 6 | 1 |
Table 2 Clinical characteristics of esophagectomy in relation to tube feed requirement n (%)
| Characteristic | Total (n = 182) | Tube feeds used | Tube feeds not used | P value |
| Age > 65 yr | 93 | 40 (43.0) | 53 (57.0) | 0.24 |
| Male sex | 145 | 69 (47.6) | 76 (52.4) | 0.91 |
| Tumor type | ||||
| Adenocarcinoma | 158 | 76 (48.1) | 82 (51.9) | |
| Squamous cell carcinoma | 15 | 7 (46.7) | 8 (53.3) | 0.99 |
| High-grade dysplasia | 8 | 4 (50.0) | 4 (50.0) | |
| Neo-adjuvant therapy | 114 | 52 (45.6) | 62 (54.4) | 0.54 |
| Post-operative complication | 91 | 66 (72.5) | 25 (27.5) | < 0.0001 |
| Esophagectomy approach | ||||
| Transhiatal | 107 | 64 (59.8) | 43 (40.2) | < 0.0001 |
| Ivor-Lewis | 56 | 14 (25.0) | 42 (75.0) |
Table 3 Tube feed reliance by esophagectomy approach n (%)
| Tube feed reliance | Transhiatal (n = 107) | Ivor-lewis (n = 56) | Other (n = 19) |
| None | 43 (40.2) | 42 (75.0) | 10 (52.6) |
| Partial | 20 (18.7) | 10 (17.6) | 4 (21.1) |
| Total | 44 (41.1) | 4 (7.1) | 5 (26.3) |
Table 4 Feeding tube placement and utilization and overall need for nutritional support in relation to extent of gastric resection n (%)
| Variable | Overall (n = 105) | Subtotal (n = 63) | Total (n = 42) | P value |
| Feeding tube placed | 47 (44.8) | 8 (12.7) | 39 (92.9) | < 0.0001 |
| Tube placed, utilized | 25 (53.2) | 5 (62.5) | 20 (51.3) | 0.71 |
| Tube placed, utilized, PN utilized | 5 (10.6) | - | 5 (12.8) | 0.57 |
| Tube placed, not utilized | 22 (46.8) | 3 (37.5) | 19 (48.7) | 0.71 |
| Tube placed, not utilized, PN utilized | 6 (12.8) | 1 (12.5) | 5 (12.8) | 1.0 |
| PN utilized | 22 (21.0) | 11 (17.5) | 11 (26.2) | 0.28 |
| PN utilized with feeding tube | 11 (10.5) | 1 (9.1) | 10 (90.9) | 0.42 |
| PN utilized without feeding tube | 11 (10.5) | 10 (90.9) | 1 (9.1) | 0.51 |
| No nutritional support used regardless of feeding tube placement | 63 (60.0) | 47 (74.6) | 16 (38.1) | 0.0004 |
- Citation: Blakely AM, Ajmal S, Sargent RE, Ng TT, Miner TJ. Critical analysis of feeding jejunostomy following resection of upper gastrointestinal malignancies. World J Gastrointest Surg 2017; 9(2): 53-60
- URL: https://www.wjgnet.com/1948-9366/full/v9/i2/53.htm
- DOI: https://dx.doi.org/10.4240/wjgs.v9.i2.53