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:: Volume 14, Number 11 (February 2017) ::
J Urmia Nurs Midwifery Fac 2017, 14(11): 960-968 Back to browse issues page
COMPARISON OF ESOPHAGECTOMY WITH AND WITHOUT PLACEMENT OF JEJUNOSTOMY TUBE
Amin Farjami, Bahram Nabilou1, Hasan Yusefzadeh2, Rahim Mahmodlou 3
1- Associate Professor of Health Services Management, Social Determinants of Health Research Center, Urmia University of Medical Sciences, Urmia, Iran
2- Assistant Professor of Health Economics, Department of Public Health, School of Public Health, Urmia University of Medical Sciences, Urmia, Iran
3- Department of Surgery, School of Medicine, Urmia University of Medical Sciences, Urmia, Iran (Corresponding author) , Mahmodlou@gmail.com@gmail.com
Abstract:   (888 Views)

Background & Aims: Maintaining the nutritional and metabolic condition is one of the consequential pillars in the post-operative care. Feeding through a Jejunostomy Tube (JT) has been advocated in patients who undergo major operations on the upper gastrointestinal tract to enhance and accelerate an early enteral feeding. The present study aimed to examine benefits and complications of a JT insertion in such patients.

Materials & Methods: This quasi experimental and case-control study was performed in 2009-2014 on 100 patients who underwent Esophagectomy. Patients were divided into two groups. In the case group, Jejunostomy Tube was inserted for 50 patients while control group was fed normally and through intravenous injection. In this study, the clinical and economic aspects of the two groups were recorded and compared. Descriptive and analytic statistics were used to analyze the data.

Results: According to the results of this study, length of hospital stay and the beginning of oral intake interval were significantly shorter in the Jejunostomy group (P=0.02). Distention in Jejunostomy group was significantly more than other group (P = 0.04). The total cost of hospitalization in Jejunostomy group was significantly lower (P <0.001). In this study, there were no cases of infection and serious complications leading to death While erythema (%4), pneumonia (%4), urinary tract infection (%6), anastomotic leak (%10) and, catheter obstruction (%12) were seen in patients of Jejunostomy group.

Conclusion: JT is a safe and saving approach in nutritional support of patients after Esophagectomy and its routine insertion are recommended.

Keywords: Esophageal cancer, esophagectomy, jejunostomy
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Type of Study: Research | Subject: پزشکی
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Farjami A, Nabilou B, Yusefzadeh H, Mahmodlou R. COMPARISON OF ESOPHAGECTOMY WITH AND WITHOUT PLACEMENT OF JEJUNOSTOMY TUBE. J Urmia Nurs Midwifery Fac. 2017; 14 (11) :960-968
URL: http://unmf.umsu.ac.ir/article-1-3042-en.html
Volume 14, Number 11 (February 2017) Back to browse issues page
مجله دانشکده پرستاری و مامایی ارومیه  Journal of Urmia Nursing And Midwifery Faculty
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