FEEDING JEJUNOSTOMY AS A LIFELINE FOR ESOPHAGEAL MALIGNANCIES

Feeding Jejunostomy

  • Usama Zafar Combined Military Hospital Lahore/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Farhan Ahmed Majeed Combined Military Hospital Lahore/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Abuzer Hanif Combined Military Hospital Lahore/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Ahmad Ali Combined Military Hospital Lahore/National University of Medical Sciences (NUMS) Rawalpindi Pakistan,
  • Tashfeen Imtiaz Pakistan Institute of Medical Sciences Islamabad Pakistan
Keywords: Enteral nutrition, Esophageal cancer, Esophagectomy, Parenteral nutrition

Abstract

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.

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Published
2018-10-31
How to Cite
Zafar, U., Majeed, F. A., Hanif, A., Ali, A., & Imtiaz, T. (2018). FEEDING JEJUNOSTOMY AS A LIFELINE FOR ESOPHAGEAL MALIGNANCIES. Pakistan Armed Forces Medical Journal, 68(5), 1260-64. Retrieved from https://mail.pafmj.org/index.php/PAFMJ/article/view/2304
Section
Original Articles