Esophagectomy can result in various postoperative nutrition-related complications that may impair the nutritional status of the patient. In our institution, we usually initiate 16-hour continuous jejunostomy feeding using an enteral feeding pump on postoperative day 2 as a routine protocol after esophagectomy. The target calorie intake was achieved in 6-7 days with this protocol, which is longer than that required with other recently reported feeding protocols. Accordingly, early jejunostomy feeding protocol, which starts on postoperative day 1 and continues for 24 hours was attempted. In the present report, we described 3 cases of early 24-hour continuous jejunostomy feeding after esophagectomy. The use of this new protocol reduced the duration required to achieve the target calorie intake as less than 5 days without any enteral feeding-related complications.
Citations
Citations to this article as recorded by
Nutritional support team intervention in surgical ICUs and its effect on nutrition delivery and quality in critically ill patients Andrés Martinuzzi, Adriana Crivelli, Ariel Lopez, Darío Sgarzini, Virginia Aragon, Fátima Galeano, Maria Cristina Billinger, Mariana Doeyo, Milagros Matano, Paula Salomone, Dafne Cabrera, Ariana Del Fabro, Ezequiel Manrique Nutrition.2024; 125: 112501. CrossRef
Reconstructive esophageal surgery in fast track epoch A.L. Shestakov, I.A. Tarasova, A.T. Tskhovrebov, I.A. Boeva, T.T. Bitarov, A.A. Bezaltynnykh, M.E. Shakhbanov, A.P. Dergunova, E.S. Vasilyeva Khirurgiya. Zhurnal im. N.I. Pirogova.2021; (6): 73. CrossRef
Nutritional management of patients with oesophageal cancer throughout the treatment trajectory: benchmarking against best practice Merran Findlay, Meredith Purvis, Rosemary Venman, Rebecca Luong, Sharon Carey Supportive Care in Cancer.2020; 28(12): 5963. CrossRef