Clinical application and research of abdominal retrograde gastric and jejunal feeding tube

ZHANG Chong; CAO Long-xiang; LV Ying-ying; WANG Ying; WANG Lu-ming; LV Wang; HU Jian

doi:10.16689/j.cnki.cn11-9349/r.2019.02.010

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Electronic Journal of Metabolism and Nutrition of Cancer ›› 2019, Vol. 6 ›› Issue (2) : 206-211. DOI: 10.16689/j.cnki.cn11-9349/r.2019.02.010

Clinical application and research of abdominal retrograde gastric and jejunal feeding tube

1ZHANG Chong， 1CAO Long-xiang， 2LV Ying-ying， 3WANG Ying， 1WANG Lu-ming， 1LV Wang， 1HU Jian

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Abstract

Objective To summarize clinical application and experience of abdominal retrograde gastric and jejunal feeding tube and study its clinical value. Methods We viewed 45 adult patients with esophageal carcinoma treated with two-incision esophagectomy from January 1st， 2014 to December 31th， 2016 in Department of Thoracic Surgery， the First Affiliated Hospital of Zhejiang University. During the surgeries， 31 patients were treated with nasogastric tube and jejunostomy tube (control group)， and 14 patients were treated with retrograde gastric tube and jejunostomy tube (abdominal retrograde gastric and jejunal feeding tube， experimental group). All of them were diagnosed with esophageal squamous cancer according to the postoperative pathological results. Results Differences of general information between two groups including gender， age， body mass index， smoking history， preoperative albumin， preoperative alanine aminotransferase， preoperative aspartate aminotransferase， preoperative hemoglobin， location and pathological TNM stage were not statistically significant (P>0.05). Operative time， operative blood loss， postoperative albumin， postoperative hemoglobin， duration of using gastric tube， length of postoperative stay and complication rate between the two groups were not statistically different (P>0.05). The experimental group had less postoperative drainage volume of gastric tube in 24h (P＜0.05). Conclusion For resectable esophageal carcinoma， abdominal retrograde gastric and jejunal feeding tube can provide effective gastrointestinal decompression and enteral nutrition while avoiding nasal irritation and inconvenience. So it deserves to be further studied and widely applied.

Key words

Two-incision esophagectomy / Jejunostomy tube / Retrograde gastric tube / Clinical evaluation

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ZHANG Chong， CAO Long-xiang， LV Ying-ying， WANG Ying， WANG Lu-ming， LV Wang， HU Jian. Clinical application and research of abdominal retrograde gastric and jejunal feeding tube[J]. Electronic Journal of Metabolism and Nutrition of Cancer. 2019, 6(2): 206-211 https://doi.org/10.16689/j.cnki.cn11-9349/r.2019.02.010

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