Abstract:
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.
J. Rezaii, F. Hajimohamadi, K. Esfandiari, M. Mirzazadeh and A. Basiri, 2008. Time of Jejunostomy after Upper Gastrointestinal and Respiratory
Tract Cancers would be Affecting on Complications of Jejunostomy. Journal of Medical Sciences, 8: 583-586.
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