Laparoscopic feeding jejunostomy in esophagogastric cancer

Abstract

Laparoscopic percutaneous feeding jejunostomy is a safe and simple technique that adds little to the morbidity and cost of managing patients with esophagogastric cancers. It facilitates optimization of nutrition in the perioperative period for these patients, especially in those receiving preoperative chemotherapy.

Gastric outlet obstruction: An unusual complication of feeding jejunostomy

“…It can be done by various methods, e.g., Witzel (Longitudinal/Transverse), Stamm, needle catheter, percutaneous endoscopy and laparoscopy [1].…”

“…Feeding jejunostomy can be made be-open method, percutaneous method or laparoendoscopic assisted method [1]. Various indications-laparotomy patients in whom a complicated postoperatory recovery is expected, those with a prolonged fasting period, those in a hyper catabolic state, or those who will subsequently need chemotherapy or radiotherapy [2].…”

Nutritional management during neoadjuvant therapy for esophageal cancer

“…Many patients that are able to eat upon initial presentation will eventually require supplementation during the course of neoadjuvant therapy [11,42]. As a result some centers advocate routine feeding tube placement in all patients undergoing multimodal therapy [43,44].…”

“…Jejunostomy tubes can be placed using either an open or laparoscopic technique [43]. A method of direct percutaneous endoscopic jejunostomy placement has also been described.…”

Feeding Tube Enterostomies in Upper Aerodigestive Tract Cancers

“…More patients gained weight or had a rise in albumin in the group that had jejunal feeding (p < 0.05). 68 However, a systematic review concludes that while this is a viable means of achieving enteral access, conversions to an open procedure may be necessary, complications can be serious and strict patient selection is warranted.…”