{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T20:59:20Z","timestamp":1790629160784,"version":"4.1.0"},"reference-count":29,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[2023,1,3]],"date-time":"2023-01-03T00:00:00Z","timestamp":1672704000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,9,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Esophageal cancer patients require enteral nutritional support after esophagectomy. Conventional feeding enterostomy to the jejunum (FJ) is occasionally associated with small bowel obstruction because the jejunum is fixed to the abdominal wall. Feeding through an enteral feeding tube inserted through the reconstructed gastric tube (FG) or the duodenum (FD) using the round ligament of the liver have been suggested as alternatives. This meta-analysis aimed to compare short-term outcomes between FG\/FD and FJ. Studies published prior to May 2022 that compared FG or FD with FJ in cancer patients who underwent esophagectomy were identified via electronic literature search. Meta-analysis was performed using the Mantel\u2013Haenszel random-effects model to calculate Odds Ratios (ORs) with 95% confidence intervals (CIs). Five studies met inclusion criteria to yield a total of 1687 patients. Compared with the FJ group, the odds of small bowel obstruction (OR 0.09; 95% CI, 0.02\u20130.33), catheter site infection (OR 0.18; 95% CI, 0.06\u20130.51) and anastomotic leakage (OR 0.53; 95% CI, 0.32\u20130.89) were lower for the FG\/FD group. Odds of pneumonia, recurrent laryngeal nerve palsy, chylothorax and hospital mortality did not significantly differ between the groups. The length of hospital stay was shorter for the FG\/FD group (median difference, \u221210.83; 95% CI, \u221218.55 to \u22123.11). FG and FD using the round ligament of the liver were associated with lower odds of small bowel obstruction, catheter site infection and anastomotic leakage than FJ in esophageal cancer patients who underwent esophagectomy.<\/jats:p>","DOI":"10.1093\/dote\/doac105","type":"journal-article","created":{"date-parts":[[2023,1,6]],"date-time":"2023-01-06T14:13:11Z","timestamp":1673014391000},"source":"Crossref","is-referenced-by-count":5,"title":["Feeding gastrostomy and duodenostomy using the round ligament of the liver versus conventional feeding jejunostomy after esophagectomy: a meta-analysis"],"prefix":"10.1093","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9376-9932","authenticated-orcid":false,"given":"Tomohiko","family":"Yasuda","sequence":"first","affiliation":[{"name":"Nippon Medical School Chiba Hokusoh Hospital Department of Surgery, , Chiba, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akihisa","family":"Matsuda","sequence":"additional","affiliation":[{"name":"Nippon Medical School Department of Gastrointestinal and Hepato-Biliary-Pancreatic Surgery, , Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroki","family":"Arai","sequence":"additional","affiliation":[{"name":"Nippon Medical School Chiba Hokusoh Hospital Department of Surgery, , Chiba, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daisuke","family":"Kakinuma","sequence":"additional","affiliation":[{"name":"Nippon Medical School Chiba Hokusoh Hospital Department of Surgery, , Chiba, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nobutoshi","family":"Hagiwara","sequence":"additional","affiliation":[{"name":"Nippon Medical School Department of Gastrointestinal and Hepato-Biliary-Pancreatic Surgery, , Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Youichi","family":"Kawano","sequence":"additional","affiliation":[{"name":"Nippon Medical School Chiba Hokusoh Hospital Department of Surgery, , Chiba, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keisuke","family":"Minamimura","sequence":"additional","affiliation":[{"name":"Nippon Medical School Chiba Hokusoh Hospital Department of Surgery, , Chiba, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takeshi","family":"Matsutani","sequence":"additional","affiliation":[{"name":"Nippon Medical School Musashikosugi Hospital Department of Digestive Surgery, , Kawasaki-shi, Kanagawa \u00a0 Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masanori","family":"Watanabe","sequence":"additional","affiliation":[{"name":"Nippon Medical School Chiba Hokusoh Hospital Department of Surgery, , Chiba, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hideyuki","family":"Suzuki","sequence":"additional","affiliation":[{"name":"Nippon Medical School Chiba Hokusoh Hospital Department of Surgery, , Chiba, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroshi","family":"Yoshida","sequence":"additional","affiliation":[{"name":"Nippon Medical School Department of Gastrointestinal and Hepato-Biliary-Pancreatic Surgery, , Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2023,1,3]]},"reference":[{"issue":"6","key":"2023090116254956800_ref1","doi-asserted-by":"crossref","first-page":"962","DOI":"10.1097\/01.sla.0000145925.70409.d7","article-title":"Three-field lymphadenectomy for carcinoma of the esophagus and gastroesophageal junction in 174 R0 resections: impact on staging, disease-free survival, and outcome: a plea for adaptation of TNM classification in upper-half esophageal 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