Xiaomei Tao, Xugang Zhang and Zhanzhi Zhang*
Volume5-Issue6
Dates: Received: 2024-06-06 | Accepted: 2024-06-17 | Published: 2024-06-18
Pages: 607-613
Abstract
The objectives of this study is to summarize and analyze the clinical and pathological data of patients with feeding jejunostomy, evaluate its clinical application value and risk, and study the optimal selection of enteral nutrients. The clinical data of 238 patients who underwent feeding jejunostomy in Beijing Shijitan Hospital, Capital Medical University, from September 1, 2017 to July 31, 2021 were retrospectively studied. The serious complications and treatment of patients were summarized and analyzed. Serious complications included anastomotic fistula, postoperative bleeding, and so on. Complications related to jejunal feeding stoma included: tube folded, intestinal stenosis at the stoma, and others. The symptoms of some enteral nutrition patients with abdominal pain, abdominal distension and diarrhea were improved by changing the type of enteral nutrients and increasing dietary fiber. Feeding jejunostomy can effectively solve the enteral nutrition problems of upper gastrointestinal anastomotic leakage, perforation, obstruction and functional eating disorder, can also be used as a separate means of enhance enteral nutrition support, but also can cause severe complications, and even death. Compliance with surgical indications is as important as mastery of surgical technical details. Reasonable use of enteral nutrients can achieve better nutritional support effect.
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DOI: 10.37871/jbres1933
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Copyright
© 2024 Tao X, et al. Distributed under Creative Commons CC-BY 4.0 
How to cite this article
Tao X, Zhang X, Zhang Z. Clinical Analysis of Feeding Jejunostomy and Optimal Selection of Enteral Nutrients (Report of 238 Cases). J Biomed Res Environ Sci. 2024 Jun 18; 5(6): 607-613. doi: 10.37871/jbres1933, Article ID: JBRES1933, Available at: https://www.jelsciences.com/articles/jbres1933.pdf
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References
- Statistical information center of the national health and family planning commission, chronic non communicable disease prevention and control center of the Chinese center for disease prevention and control. China death cause monitoring data set. Beijing. China Science and Technology Press; 2017:26.
- Chen W, Zheng R, Baade PD, Zhang S, Zeng H, Bray F, Jemal A, Yu XQ, He J. Cancer statistics in China, 2015. CA Cancer J Clin. 2016 Mar-Apr;66(2):115-32. doi: 10.3322/caac.21338. Epub 2016 Jan 25. PMID: 26808342.
- Bray F, Ferlay J, Soerjomataram I, Siegel RL, Torre LA, Jemal A. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2018 Nov;68(6):394-424. doi: 10.3322/caac.21492. Epub 2018 Sep 12. Erratum in: CA Cancer J Clin. 2020 Jul;70(4):313. doi: 10.3322/caac.21609. PMID: 30207593.
- Zheng RS, Sun KX, Zhang SW, Zeng HM, Zou XN, Chen R, Gu XY, Wei WW, He J. [Report of cancer epidemiology in China, 2015]. Zhonghua Zhong Liu Za Zhi. 2019 Jan 23;41(1):19-28. Chinese. doi: 10.3760/cma.j.issn.0253-3766.2019.01.005. PMID: 30678413.
- Weimann A, Braga M, Carli F, Higashiguchi T, Hübner M, Klek S, Laviano A, Ljungqvist O, Lobo DN, Martindale R, Waitzberg DL, Bischoff SC, Singer P. ESPEN guideline: Clinical nutrition in surgery. Clin Nutr. 2017 Jun;36(3):623-650. doi: 10.1016/j.clnu.2017.02.013. Epub 2017 Mar 7. PMID: 28385477.
- Wobith M, Weimann A. Oral Nutritional Supplements and Enteral Nutrition in Patients with Gastrointestinal Surgery. Nutrients. 2021 Jul 30;13(8):2655. doi: 10.3390/nu13082655. PMID: 34444812; PMCID: PMC8400187.
- Sánchez Álvarez C, Zabarte Martínez de Aguirre M, Bordejé Laguna L; Spanish Society of Intensive Care Medicine and Coronary Units-Spanish Society of Parenteral and Enteral Nutrition (SEMICYUC-SENPE). Recomendaciones para el soporte nutricional y metabólico especializado del paciente crítico. Actualización. Consenso SEMICYUC-SENPE: cirugía del aparato digestivo [Guidelines for specialized nutritional and metabolic support in the critically-ill patient. Update. Consensus of the Spanish Society of Intensive Care Medicine and Coronary Units-Spanish Society of Parenteral and Enteral Nutrition (SEMICYUC-SENPE): gastrointestinal surgery]. Med Intensiva. 2011 Nov;35 Suppl 1:42-7. Spanish. doi: 10.1016/S0210-5691(11)70009-2. PMID: 22309752.
- Yu M, Ma W, Wang H. Meta analysis of the clinical effects of nasogastric feeding and jejunostomy tube enteral nutrition after upper gastrointestinal reconstruction . Abdominal surgery. 2016;29(1):55-59.
- Zhang X, Li W, Li B, Qiao A, Zhitian L, Jiang F. Comparison of the efficacy of early enteral nutrition and parenteral nutrition after esophageal cancer surgery based on propensity score matching . Chinese cancer clinic. 2019;46(16):832-835.
- Wang F. Clinical comparative study of enteral nutrition through indwelling nasojejunostomy tube and jejunostomy after total gastrectomy. Chinese Journal of modern medicine. 2011;21(22):2774-2776.
- Zheng T, Xie HH, Wu XW, Chi Q, Wang F, Yang ZH, Chen CW, Mai W, Luo SM, Song XF, Yang SM, Zhou W, Liu HY, Xu XJ, Zhou Z, Liu CY, Ding LA, Xie K, Han G, Liu HB, Wang JZ, Wang SC, Wang PG, Wang GF, Gu GS, Ren JA. [Investigation of treatment and analysis of prognostic risk on enterocutaneous fistula in China: a multicenter prospective study]. Zhonghua Wei Chang Wai Ke Za Zhi. 2019 Nov 25;22(11):1041-1050. Chinese. doi: 10.3760/cma.j.issn.1671-0274.2019.11.007. PMID: 31770835.
- Tang Q, Yue J, Cao X. Comparative study of enteral nutrition in gastric cancer after operation. Parenteral and Enteral Nutrition. 2021;28(03):147-151.
- Shu X, Zhao J, Liu Z. Effect of short peptide enteral nutrition on nutritional status and intestinal tolerance after gastric resection. Shanghai Med J. 2015;38(03):235-238.
