COMPARISON OF ESOPHAGECTOMY WITH AND WITHOUT PLACEMENT OF JEJUNOSTOMY TUBE

Farjami, A and Mahmoodloo, R and Yusefzadeh, H and Nabilou, B (2017) COMPARISON OF ESOPHAGECTOMY WITH AND WITHOUT PLACEMENT OF JEJUNOSTOMY TUBE. The J Urmia Nurs Midwifery Fac, 14 (11). pp. 960-968.

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Abstract

Maintaining the nutritional and metabolic condition is one of the consequential pillars in the post-operative care. Feeding through a Jejunostomy Tube (JT) has been advocated in patients who undergo major operations on the upper gastrointestinal tract to enhance and accelerate an early enteral feeding. The present study aimed to examine benefits and complications of a JT insertion in such patients. Materials & Methods: This quasi experimental and case-control study was performed in 2009-2014 on 100 patients who underwent Esophagectomy. Patients were divided into two groups. In the case group, Jejunostomy Tube was inserted for 50 patients while control group was fed normally and through intravenous injection. In this study, the clinical and economic aspects of the two groups were recorded and compared. Descriptive and analytic statistics were used to analyze the data. Results: According to the results of this study, length of hospital stay and the beginning of oral intake interval were significantly shorter in the Jejunostomy group (P=0.02). Distention in Jejunostomy group was significantly more than other group (P = 0.04). The total cost of hospitalization in Jejunostomy group was significantly lower (P <0.001). In this study, there were no cases of infection and serious complications leading to death While erythema (%4), pneumonia (%4), urinary tract infection (%6), anastomotic leak (%10) and, catheter obstruction (%12) were seen in patients of Jejunostomy group. Conclusion: JT is a safe and saving approach in nutritional support of patients after Esophagectomy and its routine insertion are recommended

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