T-tube Jejunostomy Feeding After Pancreatic Surgery: A Safe Adjunct
| Autor: | Paul A. Thodiyil, Robin C. N. Williamson, Hilary Peake, Nabil S. El-Masry |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2004 |
| Předmět: |
Adult
Male medicine.medical_specialty Pancreatic disease Nausea medicine.medical_treatment Jejunostomy lcsh:Surgery Nutritional Status Enteral Nutrition medicine Humans Pancreas Aged Retrospective Studies Aged 80 and over business.industry Pancreatic Diseases Gastric outlet obstruction lcsh:RD1-811 Abdominal distension Middle Aged medicine.disease Surgery medicine.anatomical_structure Parenteral nutrition Vomiting Female medicine.symptom business |
| Zdroj: | Asian Journal of Surgery, Vol 27, Iss 2, Pp 80-84 (2004) |
| ISSN: | 1015-9584 |
| Popis: | Objective Patients with pancreatic disease are often malnourished because of biliary and gastric outlet obstruction or the catabolic response to sepsis or cancer. In this study, we reviewed our experience of providing enteral nutrition through a T-tube jejunostomy in these patients. Methods The records of a consecutive series of 36 patients who had undergone pancreatic operations during the last 4 years were reviewed. Data were collected on preoperative nutritional status and postoperative feeding. Results All patients had partially hydrolysed feeds administered through a T-tube jejunostomy, placed during pylorus-preserving proximal pancreatoduodenectomy (21 patients), Whipple's procedure (4), debridement of pancreatic necrosis (3), palliative bypass (2), distal pancreatectomy (2), cyst-jejunostomy (3) or accessory sphincteroplasty (1). Tube feeding was employed for a mean of 18 days. There were no related deaths. Eight patients had complications directly attributable to the tube, including blockage (4), dislodgement (2), pericatheter leakage (2) and peritonitis (1). Twenty patients had complications related to feeds that included transient diarrhoea (13), abdominal distension (8), nausea or vomiting (6) and pain (6). Consequently, nitrogen and energy needs were completely fulfilled in only 19 patients. Conclusion Despite many minor shortcomings, jejunostomy tube feeding appears to be a safe adjunct to pancreatic surgery. |
| Databáze: | OpenAIRE |
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