Abstract | BACKGROUND: METHODS: A total of 306 patients who underwent esophagectomy, reconstruction with gastric conduit, and feeding enterostomy creation were retrospectively reviewed. We analyzed the clinical features and preoperative risk factors for long-term placement of feeding enterostomy. RESULTS: The feeding enterostomy tube was removed less than 90 days after esophagectomy in 234 patients (76.5%) (short group), whereas 72 patients still needed enteral nutrition after 90 days (23.5%; long group). Although severe malnutrition was observed more frequently in the long group compared with the short group (p = 0.021), overall survival time was comparable between the groups (p = 0.239). Multivariate analysis revealed that higher age (odds ratio [OR] 1.04; 95% confidence interval [CI], 1.01-1.07; p = 0.021), poor performance status (OR 2.94; 95% CI, 1.10-7.87; p = 0.032), and lower preoperative body weight (BW) (OR 0.96; 95% CI, 0.94-0.99; p = 0.009) were the independent variables predicting the long-time placement of feeding enterostomy. CONCLUSION:
Nutritional support via feeding enterostomy for more than 90 days after esophagectomy was required in 23.5% of patients. The elderly, poor performance status, and lower BW were the independent preoperative factors for predicting the long-term placement of feeding enterostomy.
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Authors | Yasukazu Kanie, Akihiko Okamura, Aya Fujihara, Hiromi Matsuo, Suguru Maruyama, Kei Sakamoto, Daisuke Fujiwara, Jun Kanamori, Yu Imamura, Koshi Kumagai, Masayuki Watanabe |
Journal | Annals of nutrition & metabolism
(Ann Nutr Metab)
Vol. 78
Issue 2
Pg. 106-113
( 2022)
ISSN: 1421-9697 [Electronic] Switzerland |
PMID | 35038697
(Publication Type: Journal Article)
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Copyright | © 2022 S. Karger AG, Basel. |
Topics |
- Aged
- Esophagectomy
(adverse effects)
- Humans
- Intubation, Gastrointestinal
- Jejunostomy
(adverse effects)
- Nutritional Support
(adverse effects)
- Postoperative Complications
(epidemiology, etiology)
- Retrospective Studies
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