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Journal of Gastrointestinal Surgery

, Volume 21, Issue 2, pp 259–265 | Cite as

Complications of Feeding Jejunostomy Tubes in Patients with Gastroesophageal Cancer

  • Audrey H. Choi
  • Michael P. O’Leary
  • Shaila J. Merchant
  • Virginia Sun
  • Joseph Chao
  • Dan J. Raz
  • Jae Y. Kim
  • Joseph Kim
Original Article

Abstract

Background

Feeding jejunostomy tubes (FJT) in patients undergoing resection of gastroesophageal cancers facilitate perioperative nutrition. Data regarding FJT use and complications are limited.

Study design

A single institution review was performed for patients who underwent perioperative FJT placement for gastrectomy or esophagogastrectomy from 2007 to 2015. FJT-related and unrelated complications were evaluated.

Results

FJTs were inserted for total/completion gastrectomy (n = 49/117, 41.9 %), proximal gastrectomy (n = 7/117, 6.0 %), or esophagogastrectomy (n = 61/117, 52.1 %). Ninety percent (n = 106/117) of patients used an FJT at some time point. Although the majority of patients (75.2 %) used FJTs after discharge, 8.5 % (n = 10/117) never used the FJT and 10.3 % (n = 12/117) used the FJT only during hospitalization. Overall, 44.4 % (n = 52/117) had FJT-related complications, including dislodgement (n = 22), clogging (n = 13), and leakage (n = 6). The majority of FJT complications were resolved by telephone triage (13.5 %) or bedside/clinic intervention (57.7 %), but 3.4 % required operative intervention for small bowel obstruction (n = 3) and hemorrhage (n = 1). FJT complications were more common with gastrectomy than esophagogastrectomy (53.6 vs. 36.0 %), perhaps related to longer FJT use in gastrectomy patients (71 vs. 38 days).

Conclusions

FJT-related complications are common, occurring more frequently after gastrectomy than esophagogastrectomy. In most patients, complications can be managed by simple measures, rarely requiring operative intervention. Nevertheless, the need for FJTs should be carefully considered to balance nutritional benefits with the risks of insertion and usage.

Keywords

Jejunostomy tube Gastric cancer Esophageal cancer Outcomes Complications 

Notes

Acknowledgments

Dr. Chao’s efforts in manuscript preparation were supported by the National Cancer Institute of the National Institutes of Health under award number NIH 5K12CA001727-20. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.

Authors’ Contributions

JYK and JK contributed to the conception/design of the work; AHC and MPO contributed to the acquisition of data; SJM, VS, JC, and DJR contributed to the analysis/interpretation of data; AHC and MPO drafted the manuscript; all authors critically revised the manuscript for intellectual content; all authors approved the final version submitted and agreed to be accountable for all aspects of the work.

Compliance with Ethical Standards

Disclosures

None

Funding

None

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Copyright information

© The Society for Surgery of the Alimentary Tract 2016

Authors and Affiliations

  • Audrey H. Choi
    • 1
  • Michael P. O’Leary
    • 1
  • Shaila J. Merchant
    • 2
  • Virginia Sun
    • 3
  • Joseph Chao
    • 4
  • Dan J. Raz
    • 1
  • Jae Y. Kim
    • 1
  • Joseph Kim
    • 5
  1. 1.Department of SurgeryCity of HopeDuarteUSA
  2. 2.Department of SurgeryQueen’s UniversityKingstonCanada
  3. 3.Division of Nursing Research and EducationCity of HopeDuarteUSA
  4. 4.Department of Medical OncologyCity of HopeDuarteUSA
  5. 5.Department of SurgerySUNY Stony BrookStony BrookUSA

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