Utility of feeding jejunostomy tubes in pancreaticoduodenectomy.

Routine placement of jejunostomy tubes (JT) during pancreaticoduodenectomy (PD) is controversial. A retrospective chart review of patients undergoing PD from 1/1/08 through 12/31/14 was performed. The patients were divided into groups by placement of JT. Outcome measures were 90-day morbidity, 90-day mortality, length of stay, rate of delayed gastric emptying (DGE), and JT-specific complications. 256 patients were included. There were no significant differences in 90-day morbidity (39.9% vs. 37.9%, p = 0.747), 90-day mortality (3.9% vs. 1.0%, p = 0.247) or TPN use (24.8 vs. 25.2%, p = 0.941) between those with and without JT, respectively. Patients with a JT had a higher rate of DGE (p < 0.001), longer hospital stay (14.3 vs. 11.6, p < 0.001), and longer time to solid intake (9.4 vs. 7.3, p < 0.001). Eleven patients (7.2%) with JT had tube-related morbidity. Routine placement of JT at the time of PD should be abandoned with efforts focused on preoperative nutrition optimization and early oral diet trials. Copyright © 2016 Elsevier Inc. All rights reserved.

Citation

Hussein E Waliye, G Paul Wright, Caitlin McCarthy, Jared Johnson, Alex Scales, Andrea Wolf, Mathew Chung. Utility of feeding jejunostomy tubes in pancreaticoduodenectomy. American journal of surgery. 2017 Mar;213(3):530-533

Mesh Tags

PMID: 27863719

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