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dc.contributor.authorMastoridis, Sotiris
dc.contributor.authorBracalente, Giada
dc.contributor.authorHanganu, Christine-Bianca
dc.contributor.authorNeccia, Michela
dc.contributor.authorGiuliani, Antonio
dc.contributor.authorGillies, Richard
dc.contributor.authorMarshall, Robert
dc.contributor.authorMaynard, Nicholas
dc.contributor.authorSgromo, Bruno
dc.date.accessioned2021-11-22T14:37:33Z
dc.date.available2021-11-22T14:37:33Z
dc.date.issued2021-10-13
dc.identifier.issn1471-2482
dc.identifier.otherPMC8513201
dc.identifier.other34645433
dc.identifier.urihttps://www.repository.cam.ac.uk/handle/1810/330812
dc.description.abstractBACKGROUND: Jejunal feeding is an invaluable method by which to improve the nutritional status of patients undergoing neoadjuvant and surgical treatment of oesophageal malignancies. However, the insertion of a feeding jejunostomy can cause significant postoperative morbidity. The aim of this study is to compare the outcomes of patients undergoing placement of feeding jejunostomy by conventional laparotomy with an alternative laparoscopic approach. METHODS: A retrospective review of data prospectively collected at the Oxford Oesophagogastric Centre between August 2017 and July 2019 was performed including consecutive patients undergoing feeding jejunostomy insertion. RESULTS: In the study period, 157 patients underwent jejunostomy insertion in the context of oesophageal cancer therapy, 126 (80%) by open technique and 31 (20%) laparoscopic. Pre-operative demographic and nutritional characteristics were broadly similar between groups. In the early postoperative period jejunostomy-associated complications were noted in 54 cases (34.4%) and were significantly more common among those undergoing open as compared with laparoscopic insertion (38.1% vs. 19.3%, P = 0.049). Furthermore, major complications were more common among those undergoing open insertion, whether as a stand-alone or at the time of staging laparoscopy (n = 11/71), as compared with insertion at the time of oesophagectomy (n = 3/86, P = 0.011). CONCLUSIONS: This report represents the largest to our knowledge single-centre comparison of open vs. laparoscopic jejunostomy insertion in patients undergoing oesophagectomy in the treatment of gastroesophageal malignancy. We conclude that the laparoscopic jejunostomy insertion technique described represents a safe and effective approach to enteral access which may offer superior outcomes to conventional open procedures.
dc.languageeng
dc.publisherSpringer Science and Business Media LLC
dc.rightsAttribution 4.0 International
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.sourceessn: 1471-2482
dc.sourcenlmid: 100968567
dc.subjectCancer
dc.subjectFeeding
dc.subjectLaparoscopic
dc.subjectJejunostomy
dc.subjectOesophagogastric
dc.subjectHumans
dc.subjectEsophageal Neoplasms
dc.subjectLaparoscopy
dc.subjectEnteral Nutrition
dc.subjectRetrospective Studies
dc.titleLaparoscopic vs. open feeding jejunostomy insertion in oesophagogastric cancer.
dc.typeArticle
dc.date.updated2021-11-22T14:37:32Z
prism.issueIdentifier1
prism.publicationNameBMC Surg
prism.volume21
dc.identifier.doi10.17863/CAM.78255
dcterms.dateAccepted2021-06-30
rioxxterms.versionofrecord10.1186/s12893-021-01318-9
rioxxterms.versionVoR
rioxxterms.licenseref.urihttps://creativecommons.org/licenses/by/4.0/
dc.contributor.orcidSgromo, Bruno [0000-0003-1010-9301]
dc.identifier.eissn1471-2482
cam.issuedOnline2021-10-13


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Attribution 4.0 International
Except where otherwise noted, this item's licence is described as Attribution 4.0 International