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Vertical distance from navel as a risk factor for bowel obstruction associated with feeding jejunostomy after esophagectomy: a retrospective cohort study

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Title: Vertical distance from navel as a risk factor for bowel obstruction associated with feeding jejunostomy after esophagectomy: a retrospective cohort study
Authors: Teppei Kamada, Hironori Ohdaira, Hideyuki Takeuchi, Junji Takahashi, Rui Marukuchi, Eisaku Ito, Norihiko Suzuki, Satoshi Narihiro, Sojun Hoshimoto, Masashi Yoshida, Mitsuyoshi Urashima, Yutaka Suzuki
Source: BMC Gastroenterology, Vol 20, Iss 1, Pp 1-9 (2020)
Publisher Information: BMC, 2020.
Publication Year: 2020
Collection: LCC:Diseases of the digestive system. Gastroenterology
Subject Terms: Bowel obstruction, Feeding jejunostomy, Esophageal cancer, Esophagectomy, Complications, Diseases of the digestive system. Gastroenterology, RC799-869
More Details: Abstract Background Placement of feeding jejunostomy (PFJ) during esophagectomy is an effective method to maintain adequate nutrition, but is associated with serious complications such as bowel obstruction and jejunal torsion. The purpose of the current study was to analyze the incidence, clinical features, and risk factors of bowel obstruction associated with feeding jejunostomy (BOFJ) after PFJ. Methods This was a retrospective cohort study of 70 patients who underwent esophagectomy with three-field lymph node dissection for esophageal cancer and treated with PFJ between March 2013 and December 2019 in our hospital. Abdominal dissection was performed under hand-assisted laparoscopic surgery (HALS) from March 2013 to March 2015, and was changed to complete laparoscopic surgery in April 2015. We compared patients with and without BOFJ, and the incidence of BOFJ was evaluated. The primary endpoint was incidence of BOFJ after PFJ. Results Six patients (8.5%) were diagnosed with BOFJ, all of whom were symptomatic and in the HALS group. In addition, 3 cases displayed histories of recurrent BOFJ (3, 3, and 5 times). Laparotomy was performed in all cases. Subgroup analysis of the HALS group showed a significant difference only in straight-line distance between the jejunostomy and navel as a significant pre- and perioperative factor (117 mm [101–130 mm] vs. 89 mm [51–150 mm], p
Document Type: article
File Description: electronic resource
Language: English
ISSN: 1471-230X
Relation: http://link.springer.com/article/10.1186/s12876-020-01506-6; https://doaj.org/toc/1471-230X
DOI: 10.1186/s12876-020-01506-6
Access URL: https://doaj.org/article/c89000942e6247299a5d66d2f37a4510
Accession Number: edsdoj.89000942e6247299a5d66d2f37a4510
Database: Directory of Open Access Journals
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  Data: Vertical distance from navel as a risk factor for bowel obstruction associated with feeding jejunostomy after esophagectomy: a retrospective cohort study
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  Data: <searchLink fieldCode="AR" term="%22Teppei+Kamada%22">Teppei Kamada</searchLink><br /><searchLink fieldCode="AR" term="%22Hironori+Ohdaira%22">Hironori Ohdaira</searchLink><br /><searchLink fieldCode="AR" term="%22Hideyuki+Takeuchi%22">Hideyuki Takeuchi</searchLink><br /><searchLink fieldCode="AR" term="%22Junji+Takahashi%22">Junji Takahashi</searchLink><br /><searchLink fieldCode="AR" term="%22Rui+Marukuchi%22">Rui Marukuchi</searchLink><br /><searchLink fieldCode="AR" term="%22Eisaku+Ito%22">Eisaku Ito</searchLink><br /><searchLink fieldCode="AR" term="%22Norihiko+Suzuki%22">Norihiko Suzuki</searchLink><br /><searchLink fieldCode="AR" term="%22Satoshi+Narihiro%22">Satoshi Narihiro</searchLink><br /><searchLink fieldCode="AR" term="%22Sojun+Hoshimoto%22">Sojun Hoshimoto</searchLink><br /><searchLink fieldCode="AR" term="%22Masashi+Yoshida%22">Masashi Yoshida</searchLink><br /><searchLink fieldCode="AR" term="%22Mitsuyoshi+Urashima%22">Mitsuyoshi Urashima</searchLink><br /><searchLink fieldCode="AR" term="%22Yutaka+Suzuki%22">Yutaka Suzuki</searchLink>
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  Data: BMC Gastroenterology, Vol 20, Iss 1, Pp 1-9 (2020)
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  Data: <searchLink fieldCode="DE" term="%22Bowel+obstruction%22">Bowel obstruction</searchLink><br /><searchLink fieldCode="DE" term="%22Feeding+jejunostomy%22">Feeding jejunostomy</searchLink><br /><searchLink fieldCode="DE" term="%22Esophageal+cancer%22">Esophageal cancer</searchLink><br /><searchLink fieldCode="DE" term="%22Esophagectomy%22">Esophagectomy</searchLink><br /><searchLink fieldCode="DE" term="%22Complications%22">Complications</searchLink><br /><searchLink fieldCode="DE" term="%22Diseases+of+the+digestive+system%2E+Gastroenterology%22">Diseases of the digestive system. Gastroenterology</searchLink><br /><searchLink fieldCode="DE" term="%22RC799-869%22">RC799-869</searchLink>
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  Data: Abstract Background Placement of feeding jejunostomy (PFJ) during esophagectomy is an effective method to maintain adequate nutrition, but is associated with serious complications such as bowel obstruction and jejunal torsion. The purpose of the current study was to analyze the incidence, clinical features, and risk factors of bowel obstruction associated with feeding jejunostomy (BOFJ) after PFJ. Methods This was a retrospective cohort study of 70 patients who underwent esophagectomy with three-field lymph node dissection for esophageal cancer and treated with PFJ between March 2013 and December 2019 in our hospital. Abdominal dissection was performed under hand-assisted laparoscopic surgery (HALS) from March 2013 to March 2015, and was changed to complete laparoscopic surgery in April 2015. We compared patients with and without BOFJ, and the incidence of BOFJ was evaluated. The primary endpoint was incidence of BOFJ after PFJ. Results Six patients (8.5%) were diagnosed with BOFJ, all of whom were symptomatic and in the HALS group. In addition, 3 cases displayed histories of recurrent BOFJ (3, 3, and 5 times). Laparotomy was performed in all cases. Subgroup analysis of the HALS group showed a significant difference only in straight-line distance between the jejunostomy and navel as a significant pre- and perioperative factor (117 mm [101–130 mm] vs. 89 mm [51–150 mm], p
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