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Ultra-Proximal Jejunostomy Application after McKeown-Type Esophagectomy: A Retrospective Case-Series Study
Dongliang Lin1, Zhendong Xu1, Jinlong Huang1
1Department of Thoracic Surgery, Quanzhou First Hospital, Quanzhou, 362000 Fujian, China.
Gastroenterology Research and Practice
|August 11, 2023
Summary
Ultra-proximal jejunostomy offers a safer alternative for enteral nutrition after McKeown-type esophagectomy. This novel technique avoids fixation, reducing complications and improving patient outcomes.
Area of Science:
- Surgical innovation in gastrointestinal procedures.
- Nutritional support strategies in oncology.
- Post-esophagectomy patient care.
Background:
- Jejunostomy is standard for enteral nutrition post-McKeown-type esophagectomy.
- Current methods require jejunal fixation, risking catheter-related complications.
- A novel ultra-proximal jejunostomy technique eliminates the need for fixation.
Purpose of the Study:
- To introduce and evaluate a new ultra-proximal jejunostomy technique.
- To assess the safety and feasibility of this method.
- To compare outcomes with traditional jejunostomy methods.
Main Methods:
- Retrospective analysis of patients undergoing McKeown-type esophagectomy.
- Inclusion criteria: January 2021 - March 2022.
- Evaluation of postoperative outcomes for ultra-proximal jejunostomy.
Main Results:
- Forty-three patients received enteral nutrition via ultra-proximal jejunostomy.
- No cases of enteral fistulas observed.
- Pain resolved post-tube removal; no removal difficulties, bowel obstruction, or jejunal torsion reported.
Conclusions:
- Ultra-proximal jejunostomy is a safe and feasible option.
- This technique presents a superior alternative for nutritional support post-McKeown-type esophagectomy.
- Eliminates fixation-related complications, enhancing patient recovery.
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