Retrospective Study
Copyright ©The Author(s) 2017. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Feb 27, 2017; 9(2): 53-60
Published online Feb 27, 2017. doi: 10.4240/wjgs.v9.i2.53
Critical analysis of feeding jejunostomy following resection of upper gastrointestinal malignancies
Andrew M Blakely, Saad Ajmal, Rachel E Sargent, Thomas T Ng, Thomas J Miner
Andrew M Blakely, Saad Ajmal, Thomas T Ng, Thomas J Miner, Department of Surgery, Rhode Island Hospital, Providence, RI 02903, United States
Andrew M Blakely, Rachel E Sargent, Thomas T Ng, Thomas J Miner, Warren Alpert Medical School of Brown University, Providence, RI 02903, United States
Author contributions: Blakely AM, Ajmal S, Ng TT and Miner TJ designed the study; Blakely AM, Ajmal S and Sargent RE conducted the study; Blakely AM, Ajmal S, Sargent RE, Ng TT and Miner TJ interpreted the data; Blakely AM, Ajmal S and Sargent RE drafted the manuscript; Blakely AM, Ajmal S, Sargent RE, Ng TT and Miner TJ edited and approved the final manuscript.
Institutional review board statement: This study was approved by the institutional review board at Rhode Island Hospital.
Informed consent statement: N/A.
Conflict-of-interest statement: The authors declare no conflicts of interest regarding this manuscript.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Thomas J Miner, MD, FACS, Department of Surgery, Rhode Island Hospital, 593 Eddy Street, APC 443, Providence, RI 02903, United States. tminer@usasurg.org
Telephone: +1-401-4442892 Fax: +1-401-4446681
Received: August 29, 2016
Peer-review started: September 1, 2016
First decision: October 26, 2016
Revised: November 19, 2016
Accepted: December 16, 2016
Article in press: December 19, 2016
Published online: February 27, 2017
Core Tip

Core tip: Adequate nutrition following major upper gastrointestinal cancer resection is critical in order to achieve optimal recovery. However, feeding jejunostomy tube placement should not be considered obligatory as part of upper gastrointestinal resection. Alternative methods of nutritional supplementation are available and perhaps better-tolerated.