{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,27]],"date-time":"2025-10-27T15:18:53Z","timestamp":1761578333236,"version":"build-2065373602"},"reference-count":18,"publisher":"FapUNIFESP (SciELO)","issue":"10","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Postdoctoral Workstation of the 900th Hospital of Joint Logistics Support Force","award":["49074"],"award-info":[{"award-number":["49074"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Assoc. Med. Bras."],"abstract":"<jats:p>SUMMARY  BACKGROUND: Postoperative care after McKeown esophagectomy remains challenging. The aim of this study was to evaluate retrograde gastric decompression and feeding as an alternative to nasogastric decompression and nasogastric-jejunal feeding.  METHODS: This retrospective study analyzed 142 esophageal cancer patients undergoing McKeown esophagectomy (between June 2020 and August 2022): retrograde gastric decompression and feeding (n=74) vs. nasogastric-jejunal (n=68). Outcomes included operative parameters, complications, and recovery metrics.  RESULTS: Retrograde gastric decompression and feeding required longer operative time (183.0\u00b141.7 vs. 169.4\u00b132.6 min, p=0.031) but showed comparable blood loss, R0 resection rates (95.9 vs. 97.1%), and lymph node yield. Gastric tube retention was shorter with retrograde gastric decompression and feeding (3.2\u00b11.6 vs. 3.6\u00b11.4 days). Complication rates (anastomotic leak: 10.8 vs. 10.3%; respiratory: 16.2 vs. 16.2%) and in-hospital mortality (1.4 vs. 1.5%) were similar. Tube-related complications trended lower with retrograde gastric decompression and feeding (5.4 vs. 10.3%, p=0.276).  CONCLUSION: Retrograde gastric decompression and feeding is a safe, effective method for enteral nutrition and decompression post-esophagectomy.<\/jats:p>","DOI":"10.1590\/1806-9282.20250171","type":"journal-article","created":{"date-parts":[[2025,10,27]],"date-time":"2025-10-27T15:07:05Z","timestamp":1761577625000},"source":"Crossref","is-referenced-by-count":0,"title":["Retrograde gastric decompression and anterograde enteral nutrition feeding in retrosternal esophagectomy for esophageal cancer"],"prefix":"10.1590","volume":"71","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-1722-6061","authenticated-orcid":false,"given":"Jingrong","family":"Yang","sequence":"first","affiliation":[{"name":"Fujian Medical University,  China; The 900th Hospital of Joint Logistic Support Force,  China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-4423-9093","authenticated-orcid":false,"given":"Wenxuan","family":"Xia","sequence":"additional","affiliation":[{"name":"Fujian Medical University,  China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-7038-8828","authenticated-orcid":false,"given":"Shixin","family":"Ye","sequence":"additional","affiliation":[{"name":"The 900th Hospital of Joint Logistic Support Force,  China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-9047-715X","authenticated-orcid":false,"given":"Duohuang","family":"Lian","sequence":"additional","affiliation":[{"name":"The 900th Hospital of Joint Logistic Support Force,  China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-4278-4961","authenticated-orcid":false,"given":"Jie","family":"Zhu","sequence":"additional","affiliation":[{"name":"The 900th Hospital of Joint Logistic Support Force,  China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-5100-6070","authenticated-orcid":false,"given":"Jian","family":"Wu","sequence":"additional","affiliation":[{"name":"The 900th Hospital of Joint Logistic Support Force,  China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-6205-2705","authenticated-orcid":false,"given":"Zhiyong","family":"Zeng","sequence":"additional","affiliation":[{"name":"Fujian Medical University,  China; The 900th Hospital of Joint Logistic Support Force,  China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","published-online":{"date-parts":[[2025]]},"reference":[{"issue":"3","key":"ref1","first-page":"229","article-title":"Global cancer statistics 2022: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries","volume":"74","author":"Bray F","year":"2024","journal-title":"CA Cancer J Clin"},{"issue":"3","key":"ref2","doi-asserted-by":"crossref","first-page":"509","DOI":"10.1016\/j.soc.2023.12.020","article-title":"Minimally invasive modified McKeown esophagectomy","volume":"33","author":"Shemmeri E","year":"2024","journal-title":"Surg Oncol Clin N Am"},{"issue":"1","key":"ref3","doi-asserted-by":"crossref","first-page":"36","DOI":"10.1186\/s13019-022-01781-2","article-title":"Safety and efficacy of minimally invasive McKeown esophagectomy in 1023 consecutive esophageal cancer patients: a single-center experience","volume":"17","author":"Zheng XD","year":"2022","journal-title":"J Cardiothorac Surg"},{"issue":"3","key":"ref4","doi-asserted-by":"crossref","first-page":"315","DOI":"10.1016\/j.thorsurg.2020.04.009","article-title":"Surgical adjuncts during esophagectomy","volume":"30","author":"Watkins AA","year":"2020","journal-title":"Thorac Surg Clin"},{"issue":"1","key":"ref5","first-page":"1","article-title":"Routes for early enteral nutrition after esophagectomy","volume":"34","author":"Weijs TJ","year":"2015","journal-title":"A systematic review. 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