Post-esophagectomy tube feeding: a retrospective comparison of jejunostomy and a novel gastrostomy feeding approach

McKeown-type esophagectomy combined with retrosternal reconstruction is a common surgical treatment for esophageal cancer. Various enteral feeding options are available post-esophagectomy, but no definitive preference exists. "Retrosternal Route Gastrostomy Feeding (RGF)" was developed as...

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Bibliographic Details
Published in:PloS one 2014-03, Vol.9 (3), p.e89190-e89190
Main Authors: Huang, Kenan, Wu, Bin, Ding, Xinyu, Xu, Zhifei, Tang, Hua
Format: Article
Language:English
Subjects:
Abdomen
Aged
Biology and Life Sciences
Cancer
Cancer surgery
Cancer therapies
Care and treatment
Comparative analysis
Complications
Distension
Enteral feeding
Enteral nutrition
Enteral Nutrition - adverse effects
Enteral Nutrition - methods
Esophageal cancer
Esophagectomy
Esophagus
Feeding
Female
Gastrointestinal diseases
Gastrointestinal surgery
Gastrostomy - adverse effects
Gastrostomy - methods
Heart surgery
Hospitals
Humans
Intestine
Male
Malnutrition
Medicine and Health Sciences
Middle Aged
Morbidity
Nutrition
Ostomy
Parenteral nutrition
Patients
Postoperative Complications - epidemiology
Research and Analysis Methods
Retrospective Studies
Surgery
Therapeutics
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Summary:McKeown-type esophagectomy combined with retrosternal reconstruction is a common surgical treatment for esophageal cancer. Various enteral feeding options are available post-esophagectomy, but no definitive preference exists. "Retrosternal Route Gastrostomy Feeding (RGF)" was developed as an alternative enteral feeding approach that requires few additional surgical interventions. RGF is based on McKeown-type esophagectomy. We retrospectively compared RGF (n = 121) to jejunostomy feeding (JF) (n = 153) in 274 patients at the Department of Cardiothoracic Surgery in Changzheng Hospital (Shanghai, China) between June 2008 and Sept. 2012. Data pertaining to efficacy and procedural complications were compared among patients. RGF had a significantly shorter postoperative hospital stay (11 vs. 15 days, p
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0089190