{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T12:18:26Z","timestamp":1781612306024,"version":"3.54.5"},"reference-count":17,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,2,21]],"date-time":"2024-02-21T00:00:00Z","timestamp":1708473600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,2,21]],"date-time":"2024-02-21T00:00:00Z","timestamp":1708473600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Sci Rep"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>The placement of a jejunostomy catheter during esophagectomy may cause postoperative bowel obstruction. The proximity of the jejunostomy site to the midline might be associated with bowel obstruction, and we have introduced laparoscopic jejunostomy (Lap-J) to reduce jejunostomy\u2019s left lateral gap. We evaluated 92 patients who underwent esophagectomy for esophageal cancer between February 2013 and August 2022 to clarify the benefits of Lap-J compared to other methods. The patients were classified into two groups according to the method of feeding catheter insertion: jejunostomy via small laparotomy (J group, n\u2009=\u200975), and laparoscopic jejunostomy (Lap-J group, n\u2009=\u200917). Surgery for bowel obstruction associated with the feeding jejunostomy catheter (BOFJ) was performed on 11 in the J group. Comparing the J and Lap-J groups, the distance between the jejunostomy and midline was significantly longer in the Lap-J group (50\u00a0mm vs. 102\u00a0mm; P\u2009&lt;\u20090.001). Regarding surgery for BOFJ, the distance between the jejunostomy and midline was significantly shorter in the surgery group than in the non-surgery group (43\u00a0mm vs. 52\u00a0mm; P\u2009=\u20090.049). During esophagectomy, Lap-J can prevent BOFJ by placing the jejunostomy site at the left lateral position to the midline and reducing the left lateral gap of the jejunostomy.<\/jats:p>","DOI":"10.1038\/s41598-024-55020-w","type":"journal-article","created":{"date-parts":[[2024,2,21]],"date-time":"2024-02-21T07:02:35Z","timestamp":1708498955000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Benefit of a laparoscopic jejunostomy feeding catheter insertion to prevent bowel obstruction associated with feeding jejunostomy after esophagectomy"],"prefix":"10.1038","volume":"14","author":[{"given":"Hiroyuki","family":"Kitagawa","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keiichiro","family":"Yokota","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masato","family":"Utsunomiya","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomoki","family":"Tanaka","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tsutomu","family":"Namikawa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michiya","family":"Kobayashi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Satoru","family":"Seo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,2,21]]},"reference":[{"key":"55020_CR1","doi-asserted-by":"publisher","first-page":"259","DOI":"10.1097\/SLA.0000000000000644","volume":"260","author":"H Takeuchi","year":"2014","unstructured":"Takeuchi, H. et al. A risk model for esophagectomy using data of 5354 patients included in a Japanese nationwide web-based database. Ann. Surg. 260, 259\u2013266 (2014).","journal-title":"Ann. Surg."},{"key":"55020_CR2","doi-asserted-by":"publisher","first-page":"333","DOI":"10.1111\/dote.12337","volume":"29","author":"J Peng","year":"2016","unstructured":"Peng, J., Cai, J., Niu, Z. X. & Chen, L. Q. Early enteral nutrition compared with parenteral nutrition for esophageal cancer patients after esophagectomy: A meta-analysis. Dis Esophagus. 29, 333\u2013341 (2016).","journal-title":"Dis Esophagus."},{"key":"55020_CR3","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1016\/j.clnu.2014.07.011","volume":"34","author":"TJ Weijs","year":"2015","unstructured":"Weijs, T. J. et al. Routes for early enteral nutrition after esophagectomy. A systematic review. Clin. Nutr. 34, 1\u20136 (2015).","journal-title":"Clin. Nutr."},{"key":"55020_CR4","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1093\/dote\/dox063","volume":"30","author":"CL Donohoe","year":"2017","unstructured":"Donohoe, C. L. et al. Impact of supplemental home enteral feeding post esophagectomy on nutrition, body composition, quality of life, and patient satisfaction. Dis. Esophagus. 30, 1\u20139 (2017).","journal-title":"Dis. Esophagus."},{"key":"55020_CR5","doi-asserted-by":"publisher","first-page":"6854","DOI":"10.21037\/jtd.2018.11.97","volume":"10","author":"Y Akiyama","year":"2018","unstructured":"Akiyama, Y. et al. Evaluation of the need for routine feeding jejunostomy for enteral nutrition after esophagectomy. J. Thorac. Dis. 10, 6854\u20136862 (2018).","journal-title":"J. Thorac. Dis."},{"key":"55020_CR6","doi-asserted-by":"crossref","first-page":"doz021","DOI":"10.1093\/dote\/doaa021","volume":"33","author":"Y Koterazawa","year":"2020","unstructured":"Koterazawa, Y. et al. Routine placement of feeding jejunostomy tube during esophagectomy increases postoperative complications and does not improve postoperative malnutrition. Dis. Esophagus. 33, doz021 (2020).","journal-title":"Dis. Esophagus."},{"key":"55020_CR7","doi-asserted-by":"publisher","first-page":"doab017","DOI":"10.1093\/dote\/doab017","volume":"34","author":"LX Mei","year":"2021","unstructured":"Mei, L. X. et al. Is it necessary to routinely perform feeding jejunostomy at the time of esophagectomy? A systematic review and meta-analysis. Dis. Esophagus. 34, doab017 (2021).","journal-title":"Dis. Esophagus."},{"key":"55020_CR8","doi-asserted-by":"publisher","first-page":"104","DOI":"10.1186\/s12876-019-1029-6","volume":"19","author":"H Kitagawa","year":"2019","unstructured":"Kitagawa, H. et al. Bowel obstruction associated with a feeding jejunostomy and its association to weight loss after thoracoscopic esophagectomy. BMC Gastroenterol. 19, 104 (2019).","journal-title":"BMC Gastroenterol."},{"key":"55020_CR9","doi-asserted-by":"publisher","first-page":"e21","DOI":"10.1016\/j.jamcollsurg.2011.08.007","volume":"213","author":"M Watanabe","year":"2011","unstructured":"Watanabe, M. et al. Feeding tube insertion through the round ligament of liver: A safe approach to placing a feeding tube for retrosternal gastric tube reconstruction after esophagectomy. J. Am. Coll. Surg. 213, e21\u2013e22 (2011).","journal-title":"J. Am. Coll. Surg."},{"key":"55020_CR10","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1093\/dote\/dox009","volume":"30","author":"R Kawai","year":"2017","unstructured":"Kawai, R. et al. Feeding catheter gastrostomy with the round ligament of the liver prevents mechanical bowel obstruction after esophagectomy. Dis. Esophagus. 30, 1\u20138 (2017).","journal-title":"Dis. Esophagus."},{"key":"55020_CR11","doi-asserted-by":"publisher","first-page":"1105","DOI":"10.1007\/s00268-015-2952-5","volume":"39","author":"H Oya","year":"2015","unstructured":"Oya, H. et al. Feeding duodenostomy decreases the incidence of mechanical obstruction after radical esophageal cancer surgery. World J. Surg. 39, 1105\u20131110 (2015).","journal-title":"World J. Surg."},{"key":"55020_CR12","doi-asserted-by":"publisher","first-page":"1375","DOI":"10.1007\/s00595-020-02025-3","volume":"50","author":"H Kitagawa","year":"2020","unstructured":"Kitagawa, H. et al. Correlation between indocyanine green visualization time in the gastric tube and postoperative endoscopic assessment of the anastomosis after esophageal surgery. Surg. Today 50, 1375\u20131382 (2020).","journal-title":"Surg. Today"},{"key":"55020_CR13","doi-asserted-by":"crossref","unstructured":"Brierley, J., Gospodarowicz, M., & Wittekind, C. TNM Classification of Malignant Tumours, 8th Edition. In: C editors (Wiley-Blackwell,\u00a0New York, 2017)","DOI":"10.1002\/9780471420194.tnmc26.pub3"},{"key":"55020_CR14","doi-asserted-by":"publisher","first-page":"354","DOI":"10.1186\/s12876-020-01506-6","volume":"20","author":"T Kamada","year":"2020","unstructured":"Kamada, T. et al. Vertical distance from navel as a risk factor for bowel obstruction associated with feeding jejunostomy after esophagectomy: A retrospective cohort study. BMC Gastroenterol. 20, 354 (2020).","journal-title":"BMC Gastroenterol."},{"key":"55020_CR15","doi-asserted-by":"publisher","first-page":"4967","DOI":"10.1007\/s00464-019-07289-6","volume":"34","author":"O Shiraishi","year":"2020","unstructured":"Shiraishi, O. et al. A simple, novel laparoscopic feeding jejunostomy technique to prevent bowel obstruction after esophagectomy: The \u201ccurtain method\u201d. Surg. Endosc. 34, 4967\u20134974 (2020).","journal-title":"Surg. Endosc."},{"key":"55020_CR16","doi-asserted-by":"publisher","first-page":"4941","DOI":"10.21873\/anticanres.12811","volume":"38","author":"T Konishi","year":"2018","unstructured":"Konishi, T. et al. Comparison of feeding jejunostomy via gastric tube versus jejunum after esophageal cancer surgery. Anticancer Res. 38, 4941\u20134945 (2018).","journal-title":"Anticancer Res."},{"key":"55020_CR17","doi-asserted-by":"publisher","first-page":"259","DOI":"10.1007\/s11605-016-3297-6","volume":"21","author":"AH Choi","year":"2017","unstructured":"Choi, A. H. et al. Complications of feeding jejunostomy tubes in patients with gastroesophageal cancer. J. Gastrointest. Surg. 21, 259\u2013265 (2017).","journal-title":"J. Gastrointest. Surg."}],"container-title":["Scientific Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.nature.com\/articles\/s41598-024-55020-w.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.nature.com\/articles\/s41598-024-55020-w","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.nature.com\/articles\/s41598-024-55020-w.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,2,21]],"date-time":"2024-02-21T07:06:21Z","timestamp":1708499181000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.nature.com\/articles\/s41598-024-55020-w"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,2,21]]},"references-count":17,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["55020"],"URL":"https:\/\/doi.org\/10.1038\/s41598-024-55020-w","relation":{"has-preprint":[{"id-type":"doi","id":"10.21203\/rs.3.rs-3309316\/v1","asserted-by":"object"}]},"ISSN":["2045-2322"],"issn-type":[{"value":"2045-2322","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,2,21]]},"assertion":[{"value":"30 August 2023","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"19 February 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"21 February 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"The authors declare no competing interests.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"4298"}}