FEEDING JEJUNOSTOMY AS A LIFELINE FOR ESOPHAGEAL MALIGNANCIES

Objective: To share experience about enteral nutrition via feeding jejunostomy in patients undergoing esophagectomies or for palliative purposes and compare our findings with similar studies. The objective of this study is to show the safety/viability of the procedure in patients undergoing esopha...

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Autores principales:	Usama Zafar, Farhan Ahmed Majeed, Abuzer Hanif, Ahmad Ali, Tashfeen Imtiaz
Formato:	article
Lenguaje:	EN
Publicado:	Army Medical College Rawalpindi 2018
Materias:	enteral nutrition esophageal cancer esophagectomy parenteral nutrition Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/ba910b888d7d48f0a28c245810afe2d5
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spelling	oai:doaj.org-article:ba910b888d7d48f0a28c245810afe2d52021-12-02T06:34:27ZFEEDING JEJUNOSTOMY AS A LIFELINE FOR ESOPHAGEAL MALIGNANCIES0030-96482411-8842https://doaj.org/article/ba910b888d7d48f0a28c245810afe2d52018-10-01T00:00:00Zhttps://www.pafmj.org/index.php/PAFMJ/article/view/2304/1999https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Objective: To share experience about enteral nutrition via feeding jejunostomy in patients undergoing esophagectomies or for palliative purposes and compare our findings with similar studies. The objective of this study is to show the safety/viability of the procedure in patients undergoing esophagectomies and as a palliative procedure in inoperable CA esophagus. Study Design: Observational study. Place and Duration of Study: CMH Lahore and CMH Rawalpindi, from 2010 to 2016. Material and Methods: Feeding jejunostomy is a surgical technique for placement of a feeding tube into small intestine mainly for administration of nutrition. Our method was based upon Witzel jejunostomy technique with emphasis on early postoperative commencement of enteral nutrition & achievement of target caloric and protein requirement subsequently. A total of 439 patients who underwent feeding jejunostomy were included. These include patients suffering from any benign or malignant pathology for which esophagectomy was done and those patients who are suffering from inoperable carcinoma and underwent feeding jejunostomy for palliative purposes. Results: Result and price analysis shows that feeding jejunostomy is financially viable as per day nutrition cost for feeding via total parenteral nutrition (TPN) is Rs 8500 ± 500 (including required daily labs) and for enteral its around 560 ± 40 Rs/day. None of our patient was put on TPN and none suffered from malnutrition. Percentage of complications rendered were on par with the results from similar studies and meta-analysis. Conclusion: We conclude that feeding jejunostomy is financially viable with minimal complications, that justifies its use and its superiority over TPN.Usama ZafarFarhan Ahmed MajeedAbuzer HanifAhmad AliTashfeen ImtiazArmy Medical College Rawalpindiarticleenteral nutritionesophageal canceresophagectomyparenteral nutritionMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 68, Iss 5, Pp 1260-1264 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	enteral nutrition esophageal cancer esophagectomy parenteral nutrition Medicine R Medicine (General) R5-920
spellingShingle	enteral nutrition esophageal cancer esophagectomy parenteral nutrition Medicine R Medicine (General) R5-920 Usama Zafar Farhan Ahmed Majeed Abuzer Hanif Ahmad Ali Tashfeen Imtiaz FEEDING JEJUNOSTOMY AS A LIFELINE FOR ESOPHAGEAL MALIGNANCIES
description	Objective: To share experience about enteral nutrition via feeding jejunostomy in patients undergoing esophagectomies or for palliative purposes and compare our findings with similar studies. The objective of this study is to show the safety/viability of the procedure in patients undergoing esophagectomies and as a palliative procedure in inoperable CA esophagus. Study Design: Observational study. Place and Duration of Study: CMH Lahore and CMH Rawalpindi, from 2010 to 2016. Material and Methods: Feeding jejunostomy is a surgical technique for placement of a feeding tube into small intestine mainly for administration of nutrition. Our method was based upon Witzel jejunostomy technique with emphasis on early postoperative commencement of enteral nutrition & achievement of target caloric and protein requirement subsequently. A total of 439 patients who underwent feeding jejunostomy were included. These include patients suffering from any benign or malignant pathology for which esophagectomy was done and those patients who are suffering from inoperable carcinoma and underwent feeding jejunostomy for palliative purposes. Results: Result and price analysis shows that feeding jejunostomy is financially viable as per day nutrition cost for feeding via total parenteral nutrition (TPN) is Rs 8500 ± 500 (including required daily labs) and for enteral its around 560 ± 40 Rs/day. None of our patient was put on TPN and none suffered from malnutrition. Percentage of complications rendered were on par with the results from similar studies and meta-analysis. Conclusion: We conclude that feeding jejunostomy is financially viable with minimal complications, that justifies its use and its superiority over TPN.
format	article
author	Usama Zafar Farhan Ahmed Majeed Abuzer Hanif Ahmad Ali Tashfeen Imtiaz
author_facet	Usama Zafar Farhan Ahmed Majeed Abuzer Hanif Ahmad Ali Tashfeen Imtiaz
author_sort	Usama Zafar
title	FEEDING JEJUNOSTOMY AS A LIFELINE FOR ESOPHAGEAL MALIGNANCIES
title_short	FEEDING JEJUNOSTOMY AS A LIFELINE FOR ESOPHAGEAL MALIGNANCIES
title_full	FEEDING JEJUNOSTOMY AS A LIFELINE FOR ESOPHAGEAL MALIGNANCIES
title_fullStr	FEEDING JEJUNOSTOMY AS A LIFELINE FOR ESOPHAGEAL MALIGNANCIES
title_full_unstemmed	FEEDING JEJUNOSTOMY AS A LIFELINE FOR ESOPHAGEAL MALIGNANCIES
title_sort	feeding jejunostomy as a lifeline for esophageal malignancies
publisher	Army Medical College Rawalpindi
publishDate	2018
url	https://doaj.org/article/ba910b888d7d48f0a28c245810afe2d5
work_keys_str_mv	AT usamazafar feedingjejunostomyasalifelineforesophagealmalignancies AT farhanahmedmajeed feedingjejunostomyasalifelineforesophagealmalignancies AT abuzerhanif feedingjejunostomyasalifelineforesophagealmalignancies AT ahmadali feedingjejunostomyasalifelineforesophagealmalignancies AT tashfeenimtiaz feedingjejunostomyasalifelineforesophagealmalignancies
_version_	1718399835590098944

FEEDING JEJUNOSTOMY AS A LIFELINE FOR ESOPHAGEAL MALIGNANCIES

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