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首页> 外文期刊>Surgical Endoscopy >Complications of feeding jejunostomy placement: a single-institution experience
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Complications of feeding jejunostomy placement: a single-institution experience

机译：喂养jejunoStomy安置的并发症：单一机构经验

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Background Feeding jejunostomy is an alternative route of enteral nutrition in patients undergoing major gastrointestinal operations when a feeding gastrostomy is not suitable. Methods A single institution review of patients who underwent open or laparoscopic jejunostomy tube (JT) placement between 2009 and 2019 was performed. Data collected included demographics, preoperative serum albumin, surgery indication, concomitancy of procedure, size of JT tube and time to its removal. JT complications were analyzed in the early postoperative period ( 30 days). The Chi-square test was used to compare rates of complications according to tube size. Results Seventy-three patients underwent JT placement, and gastroesophageal cancer (n = 48, 65.7%) was the most common indication. The JT was most frequently placed concomitantly (n = 56, 76.7%) to the primary operation and through a laparoscopic approach (n = 66, 90.4%). A total of 14 patients (19.1%) had early complications and 15 had late complications (20.5%). The reasons for early complications were clogged JT (n = 8, 10.9%), JT dislodgement (n = 3, 4.1%), leakage (n = 2, 2.7%), small bowel obstruction adjacent to the site of the jejunostomy tube (n = 2, 2.7%), JT site infection (n = 1, 1.3%), and intraperitoneal JT displacement (n = 1, 1.3%). The reasons for late complications were clogged JT (n = 6, 8.2%), JT dislodgement (n = 6, 8.2%), JT site infection (n = 3, 4.1%), and JT leakage (n = 1, 1.3%). There was no procedure-related mortality in this series. However, 12 patients (16.4%) died due to their baseline disease. The mean time to tube removal was 83.4 +/- 93.6 days. The most frequently used JT size was 14 French (n = 39, 53.4%) but in nine patients the tube size was not reported. No statistical significance (p = 0.75) was found when comparing the two most commonly used sizes to rates of complications. Conclusion The rate of JT complications in our study is comparable to other published reports in literature. As an alternative route for nutritional status optimization, the procedure appears to be safe despite the number of complications.
机译：背景：在胃肠道大手术患者中，当胃饲造口术不合适时，喂养空肠造口术是肠内营养的一种替代途径。方法对2009年至2019年间接受开放式或腹腔镜空肠造口管（JT）置入术的患者进行单机构回顾。收集的数据包括人口统计学、术前血清白蛋白、手术指征、手术伴随、JT管的大小和取出时间。术后早期（30天）分析JT并发症。卡方检验用于根据导管大小比较并发症的发生率。结果73例患者接受了JT置入术，其中胃食管癌（n=48，65.7%）是最常见的适应证。JT最常与初次手术同时放置（n=56，76.7%），并通过腹腔镜方法放置（n=66，90.4%）。共有14名患者（19.1%）出现早期并发症，15名患者出现晚期并发症（20.5%）。早期并发症的原因是JT阻塞（n=8,10.9%）、JT移位（n=3,4.1%）、渗漏（n=2,2.7%）、空肠造口管附近的小肠梗阻（n=2,2.7%）、JT部位感染（n=1,1.3%）和腹腔内JT移位（n=1,1.3%）。晚期并发症的原因是JT阻塞（n=6,8.2%）、JT移位（n=6,8.2%）、JT部位感染（n=3,4.1%）和JT渗漏（n=1,1.3%）。本组无手术相关死亡率。然而，12名患者（16.4%）因基线疾病死亡。平均拔管时间为83.4+/-93.6天。最常使用的JT尺寸是14个法式（n=39，53.4%），但在9名患者中，未报告导管尺寸。比较两种最常用的尺寸与并发症发生率时，未发现统计学意义（p=0.75）。结论本研究中JT并发症的发生率与其他文献报道相当。作为一种营养状况优化的替代方法，尽管有许多并发症，但该手术似乎是安全的。

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