An assessment of feeding jejunostomy tube placement at the time of resection for gastric adenocarcinoma: A seven-institution analysis of 837 patients from the U.S. gastric cancer collaborative

Background Jejunostomy feeding tubes (J‐tubes) are often placed during resection for gastric adenocarcinoma (GAC). Their effect on postoperative complications and receipt of adjuvant therapy is unclear. Methods Patients who underwent curative‐intent resection of GAC at seven institutions of the U.S....

Full description

Saved in:
Bibliographic Details
Published in:Journal of surgical oncology 2015-08, Vol.112 (2), p.195-202
Main Authors: Dann, Gregory C., Squires III, Malcolm H., Postlewait, Lauren M., Kooby, David A., Poultsides, George A., Weber, Sharon M., Bloomston, Mark, Fields, Ryan C., Pawlik, Timothy M., Votanopoulos, Konstantinos I., Schmidt, Carl R., Ejaz, Aslam, Acher, Alexandra W., Worhunsky, David J., Saunders, Neil, Levine, Edward A., Jin, Linda X., Cho, Clifford S., Winslow, Emily R., Russell, Maria C., Cardona, Kenneth, Staley, Charles A., Maithel, Shishir K.
Format: Article
Language:English
Subjects:
Adenocarcinoma - pathology
Adenocarcinoma - surgery
Adult
Aged
Aged, 80 and over
Anastomotic Leak - epidemiology
Anastomotic Leak - etiology
chemotherapy
Chemotherapy, Adjuvant - statistics & numerical data
complications
Databases, Factual
Enteral Nutrition - adverse effects
Female
Gastrectomy
gastric cancer
Humans
Jejunostomy - adverse effects
jejunostomy tube
Male
Middle Aged
Neoplasm Grading
Neoplasm Staging
Odds Ratio
Postoperative Complications - epidemiology
Postoperative Complications - etiology
Reoperation - statistics & numerical data
resection
Retrospective Studies
Risk Factors
Stomach Neoplasms - pathology
Stomach Neoplasms - surgery
Surgical Wound Infection - epidemiology
Surgical Wound Infection - etiology
United States - epidemiology
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Background Jejunostomy feeding tubes (J‐tubes) are often placed during resection for gastric adenocarcinoma (GAC). Their effect on postoperative complications and receipt of adjuvant therapy is unclear. Methods Patients who underwent curative‐intent resection of GAC at seven institutions of the U.S. Gastric Cancer Collaborative from 2000 to 2012 were identified. The associations of J‐tubes with postoperative complications and receipt of adjuvant therapy were determined. Results Of 837 patients, 265 (32%) received a J‐tube. Patients receiving J‐tubes demonstrated greater incidence of preoperative weight loss, lower BMI, greater extent of resection, and more advanced TNM stage. J‐tube placement was associated with increased infectious complications (36% vs. 19%; P 
ISSN:0022-4790
1096-9098
DOI:10.1002/jso.23983