Department of Cardiovascular and Thoracic Surgery, Sher-i-Kashmir Institute of Medical Sciences, Soura, Srinagar, Jammu and Kashmir, India.
Int J Surg. 2010;8(5):387-90. doi: 10.1016/j.ijsu.2010.05.009. Epub 2010 Jun 9.
The purpose of this study was to review the efficacy and safety of feeding jejunostomy in terms of achieving the nutritional goals in patients undergoing esophagectomy for carcinoma of oesophagus and complications associated hence with.
A total of 463 patients underwent esophagogastrectomy for carcinoma oesophagus during this period. All these patients underwent Witzel feeding jejunostomy for post-operative enteral nutrition. Enteral feeding was started after 24 h of surgery and increased gradually till target caloric and protein value was achieved. Nutritional goals achieved were reviewed. All complications related to jejunostomy were recorded.
The study comprised of 463 patients who underwent elective esophagogastrectomy. Mean age was 58 +/- 8.4 in male patients and 55 +/- 4.2 years in female patients. Patients spend a mean of 19 +/- 8.4 (range 10-49) days on jejunostomy feed. The targeted calorie requirement was achieved by post-operative day 3 in 408 (88.12%) patients. The catheter blockage was one of the main complications during the course of feeding. Seven patients required relaparotomy for catheter blockage.
Feeding jejunostomy is an effective, safe, economic and well tolerated method of providing nutrition to the patients of esophagogastrectomy. Feeding jejunostomy should be done in every patient undergoing esophagectomy at the time of laparotomy.
本研究旨在回顾经空肠造口术喂养在实现食管癌患者食管切除术后营养目标方面的疗效和安全性，并探讨其相关并发症。
在此期间，共有 463 例患者接受了食管癌根治术。所有患者均接受了 Witzel 空肠造口术进行术后肠内营养。术后 24 小时开始肠内喂养，并逐渐增加，直到达到目标热量和蛋白质值。评估营养目标的实现情况。记录与空肠造口术相关的所有并发症。
本研究纳入了 463 例行择期食管胃切除术的患者。男性患者的平均年龄为 58±8.4 岁，女性患者的平均年龄为 55±4.2 岁。患者平均使用空肠造口管喂养 19±8.4 天（范围为 10-49 天）。408 例（88.12%）患者在术后第 3 天达到目标热量需求。导管堵塞是喂养过程中的主要并发症之一。7 例患者因导管堵塞需要再次剖腹手术。
经空肠造口术喂养是一种有效、安全、经济且耐受性良好的为食管胃切除术患者提供营养的方法。在进行食管切除术时，应在每位患者中进行空肠造口术。
