Clin Nutr Res.  2014 Jan;3(1):69-73. 10.7762/cnr.2014.3.1.69.

Early Postoperative 24-Hour Continuous Jejunostomy Feeding in Esophagectomy Patients

Affiliations
  • 1Department of Food Service and Nutrition Care, Seoul National University Hospital, Seoul 110-744, Korea.
  • 2Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of Medicine, Seoul 110-744, Korea. chkang@snu.ac.kr

Abstract

Esophagectomy can result in various postoperative nutrition-related complications that may impair the nutritional status of the patient. In our institution, we usually initiate 16-hour continuous jejunostomy feeding using an enteral feeding pump on postoperative day 2 as a routine protocol after esophagectomy. The target calorie intake was achieved in 6-7 days with this protocol, which is longer than that required with other recently reported feeding protocols. Accordingly, early jejunostomy feeding protocol, which starts on postoperative day 1 and continues for 24 hours was attempted. In the present report, we described 3 cases of early 24-hour continuous jejunostomy feeding after esophagectomy. The use of this new protocol reduced the duration required to achieve the target calorie intake as less than 5 days without any enteral feeding-related complications.

Keyword

Early feeding; Esophagectomy; Jejunostomy

MeSH Terms

Enteral Nutrition
Esophagectomy*
Humans
Jejunostomy*
Nutritional Status

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