{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,23]],"date-time":"2025-10-23T11:23:21Z","timestamp":1761218601248,"version":"3.40.5"},"reference-count":12,"publisher":"Wiley","license":[{"start":{"date-parts":[[2023,8,2]],"date-time":"2023-08-02T00:00:00Z","timestamp":1690934400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Gastroenterology Research and Practice"],"published-print":{"date-parts":[[2023,8,2]]},"abstract":"<jats:p>Background. Jejunostomy is the main form of enteral nutritional support after McKeown-type esophagectomy. However, this requires the jejunum to be secured to the abdominal wall, which can lead to catheter-related complications. Here, we present a new type of jejunostomy, ultra-proximal jejunostomy, which does not require fixation of the jejunum to the abdominal wall. Methods. Patients who underwent McKeown-type esophagectomy between January 2021 and March 2022 were included in this study. Postoperative outcomes of patients who underwent ultra-proximal jejunostomy are also presented. Results. Forty-three patients were able to receive enteral nutritional support via an ultra-proximal jejunostomy after McKeown-type esophagectomy, and no cases of enteral fistulas were observed. The pain in the left lower abdomen largely disappeared after the removal of the jejunostomy tube in all patients, and there was no difficulty in removing the tube. To date, none of these patients have experienced bowel obstruction or jejunal torsion. Conclusion. An ultra-proximal jejunostomy is a safe and feasible method and a better option for enteral nutrition support after McKeown-type esophagectomy.<\/jats:p>","DOI":"10.1155\/2023\/5874332","type":"journal-article","created":{"date-parts":[[2023,8,2]],"date-time":"2023-08-02T23:05:09Z","timestamp":1691017509000},"page":"1-6","source":"Crossref","is-referenced-by-count":1,"title":["Ultra-Proximal Jejunostomy Application after McKeown-Type Esophagectomy: A Retrospective Case-Series Study"],"prefix":"10.1155","volume":"2023","author":[{"given":"Dongliang","family":"Lin","sequence":"first","affiliation":[{"name":"Department of Thoracic Surgery, Quanzhou First Hospital, Quanzhou, 362000 Fujian, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2430-2081","authenticated-orcid":true,"given":"Zhendong","family":"Xu","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Quanzhou First Hospital, Quanzhou, 362000 Fujian, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jinlong","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Quanzhou First Hospital, Quanzhou, 362000 Fujian, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wenshan","family":"Hong","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Quanzhou First Hospital, Quanzhou, 362000 Fujian, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Weiqing","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Quanzhou First Hospital, Quanzhou, 362000 Fujian, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luoyu","family":"Lian","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Quanzhou First Hospital, Quanzhou, 362000 Fujian, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","reference":[{"issue":"6","key":"1","first-page":"544","article-title":"Clinical effects of early enteral nutrition support for patients after esophageal cancer surgery","volume":"50","author":"W. Pei","year":"2021","journal-title":"Journal of China Medical University"},{"issue":"1","key":"2","first-page":"117","article-title":"A comparison of different enteral nutrition routes after minimally invasive oesophageal cancer surgery under the concept of rapid rehabilitation surgery","volume":"8","author":"H. Cui","year":"2020","journal-title":"Cardiovascular Disease Journal of Integrated Traditional Chinese and Western Medicine"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.4240\/wjgs.v9.i2.53"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1093\/dote\/doac105"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-020-05701-0"},{"issue":"1","key":"6","first-page":"30","article-title":"Progress of comprehensive surgical treatment for esophageal cancer","volume":"21","author":"Z. Yu","year":"2022","journal-title":"Chinese Journal of Digestive Surgery"},{"issue":"101","key":"7","first-page":"19","article-title":"Early enteral nutrition application and progress after esophageal cancer surgery. World latest medicine","volume":"21","author":"R. Zhou","year":"2021","journal-title":"Information"},{"issue":"1","key":"8","first-page":"1","article-title":"Effect of enteral nutrition support nursing through jejunostomy tube and nasointestinal tube on postoperative recovery and nutritional status of patients with esophageal cancer","volume":"7","author":"P. Yan","year":"2021","journal-title":"Nursing of Integrated Traditional Chinese and Western Medicine"},{"issue":"2","key":"9","first-page":"151","article-title":"Interpretation of Chinese experts consensus on nutritional therapy access of cancer patients: surgical jejunostomy","volume":"7","author":"Z. Wu","year":"2020","journal-title":"Electronic Journal of Metabolism and Nutrition of Cancer"},{"issue":"1","key":"10","first-page":"doz021","article-title":"Routine placement of feeding jejunostomy tube during esophagectomy increases postoperative complications and does not improve postoperative malnutrition","volume":"33","author":"Y. Koterazawa","year":"2020","journal-title":"Diseases of the Esophagus"},{"key":"11","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2018.08.027"},{"key":"12","doi-asserted-by":"publisher","DOI":"10.21147\/j.issn.1000-9604.2017.04.06"}],"container-title":["Gastroenterology Research and Practice"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/grp\/2023\/5874332.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/grp\/2023\/5874332.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/grp\/2023\/5874332.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,2]],"date-time":"2023-08-02T23:05:18Z","timestamp":1691017518000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.hindawi.com\/journals\/grp\/2023\/5874332\/"}},"subtitle":[],"editor":[{"given":"Andrew","family":"Day","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2023,8,2]]},"references-count":12,"alternative-id":["5874332","5874332"],"URL":"https:\/\/doi.org\/10.1155\/2023\/5874332","relation":{},"ISSN":["1687-630X","1687-6121"],"issn-type":[{"type":"electronic","value":"1687-630X"},{"type":"print","value":"1687-6121"}],"subject":[],"published":{"date-parts":[[2023,8,2]]}}}