{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,9,30]],"date-time":"2023-09-30T06:40:49Z","timestamp":1696056049669},"reference-count":26,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2015,4,24]],"date-time":"2015-04-24T00:00:00Z","timestamp":1429833600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Thoracic Cancer"],"published-print":{"date-parts":[[2015,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>To supplement nutrition, jejunostomy has been widely adopted as an adjunct surgical procedure for <jats:styled-content style=\"fixed-case\">I<\/jats:styled-content>vor\u2010<jats:styled-content style=\"fixed-case\">L<\/jats:styled-content>ewis esophagectomy. Most <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>hinese surgeons have a preference for parenteral nutrition even though it has some disadvantages compared with jejunostomy. In this report, we describe a new approach that allows the quick insertion of a feeding tube in <jats:styled-content style=\"fixed-case\">I<\/jats:styled-content>vor\u2010<jats:styled-content style=\"fixed-case\">L<\/jats:styled-content>ewis esophagectomy. We retrospectively analyze cases that have applied this approach and compare the advantages and disadvantages of jejunostomy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Between <jats:styled-content style=\"fixed-case\">J<\/jats:styled-content>anuary 2010 and <jats:styled-content style=\"fixed-case\">D<\/jats:styled-content>ecember 2012, 131 patients underwent Ivor\u2010Lewis esophagectomy in our hospital. These patients were divided into three groups: the total parenteral nutrition (<jats:styled-content style=\"fixed-case\">PN<\/jats:styled-content>) group, the jejunostomy (<jats:styled-content style=\"fixed-case\">JT<\/jats:styled-content>) group and the feeding tube (<jats:styled-content style=\"fixed-case\">FT<\/jats:styled-content>) group. The effect and safety of the procedure were compared.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>It took approximately 20 minutes longer to perform jejunostomy compared to placing a feeding tube (<jats:italic>P<\/jats:italic> &lt; 0.05). The nutrition cost of the <jats:styled-content style=\"fixed-case\">JT<\/jats:styled-content> group was higher than the <jats:styled-content style=\"fixed-case\">FT<\/jats:styled-content> group (<jats:italic>P<\/jats:italic> &lt; 0.05). There was no significant difference between the <jats:styled-content style=\"fixed-case\">FT<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">JT<\/jats:styled-content> groups (<jats:italic>P<\/jats:italic> &gt; 0.05) in the ratio of body weight loss seven days post\u2010surgery. The anal exsufflation time of the <jats:styled-content style=\"fixed-case\">FT<\/jats:styled-content> group was similar to the <jats:styled-content style=\"fixed-case\">JT<\/jats:styled-content> group (<jats:italic>P<\/jats:italic> &gt; 0.05). The incidence of intestinal adhesion and obstruction in the <jats:styled-content style=\"fixed-case\">JT<\/jats:styled-content> group was 26.3%, which is much higher than in the <jats:styled-content style=\"fixed-case\">FT<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">PN<\/jats:styled-content> groups (<jats:italic>P<\/jats:italic> &lt; 0.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Placing the feeding tube after <jats:styled-content style=\"fixed-case\">I<\/jats:styled-content>vor\u2010<jats:styled-content style=\"fixed-case\">L<\/jats:styled-content>ewis esophagectomy can decrease operative damage and bring sufficient nutrition. We believe it can be an alternative to jejunostomy in <jats:styled-content style=\"fixed-case\">I<\/jats:styled-content>vor\u2010<jats:styled-content style=\"fixed-case\">L<\/jats:styled-content>ewis esophagectomy.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1759-7714.12182","type":"journal-article","created":{"date-parts":[[2014,9,22]],"date-time":"2014-09-22T07:08:17Z","timestamp":1411369697000},"page":"296-302","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Alternative method for jejunostomy in <scp>I<\/scp>vor\u2010<scp>L<\/scp>ewis esophagectomy"],"prefix":"10.1111","volume":"6","author":[{"given":"Liqun","family":"Gong","sequence":"first","affiliation":[{"name":"Department of Lung Cancer Tianjin Medical University Cancer Institute and Hospital National Clinical Research Center for Cancer  Tianjin China"},{"name":"Key Laboratory of Cancer Prevention and Therapy  Tianjin China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bo","family":"Yan","sequence":"additional","affiliation":[{"name":"Department of Radiotherapy Tianjin Medical University Cancer Institute and Hospital National Clinical Research Center for Cancer  Tianjin China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yulong","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Lung Cancer Tianjin Medical University Cancer Institute and Hospital National Clinical Research Center for Cancer  Tianjin China"},{"name":"Key Laboratory of Cancer Prevention and Therapy  Tianjin China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Meng","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Lung Cancer Tianjin Medical University Cancer Institute and Hospital National Clinical Research Center for Cancer  Tianjin China"},{"name":"Key Laboratory of Cancer Prevention and Therapy  Tianjin 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