Time of Jejunostomy after Upper Gastrointestinal and Respiratory Tract Cancers would be Affecting on Complications of Jejunostomy

摘要

The aim of study was to estimate factors affecting the complications of jejunostomy procedure and suggest a new program for reducing complications of this procedure. Jejunostomy is a common route for enteral nutrition in patients with upper respiratory or gastrointestinal surgery. In a prospective study, patients with gastrointestinal or upper respiratory tract malignancies underwent jejunostomy procedures in Amir-Alam Hospital for a 3 years period. The patients divided in two groups and the outcome and complication rates compared if jejunostomy do at the same session or some days after the main surgery. Ninety cases (41 men; mean age: 55 years; range: 10-90 years) were studied. Twenty seven patients (30%) did not complain any side effects during enteral nutrition in either co-operative or postoperative groups. Adverse effects of post-operative jejunostomy nutrition were registered in 13/53 patients (24%) vs. 12/37 patients (32%) in co-operative jejunostomy group. Significantly higher incidence of abdominal distention and fever was observed in patients who underwent co-operative jejunostomy (p = 0.005 and p = 0.001, respectively). No significant differences in other complications were observed between the two groups. Jejunostomy few days after the main surgical procedure shows lower adverse effects and because of its well toleration in upper gastrointestinal and respiratory tract cancer patients recommend for enteral nutrition in these situations.