作者
Piers R Boshier, Fredrik Klevebro, Amy Schmidt, Shiwei Han, Wesley Jenq, Francesco Puccetti, Maarten FJ Seesing, Vickie E Baracos, Donald E Low
发表日期
2022/9
期刊
Annals of Surgical Oncology
卷号
29
期号
9
页码范围
5689-5697
出版商
Springer International Publishing
简介
Background
Malnutrition commonly affects patients with esophageal cancer and has the potential to negatively influence treatment outcomes. The aim of this study was to investigate the impact of early (preoperative) jejunostomy tube feeding (JTF) in nutritionally ‘high risk’ patients receiving multimodal therapy for esophageal cancer.
Methods
Patients were selected to undergo early JTF during neoadjuvant chemoradiotherapy (nCRT) in accordance with European Society for Clinical Nutrition and Metabolism (ESPEN) and Enhanced Recovery after Surgery (ERAS®) Society guidelines. Clinical outcomes were compared with patients who received routine JTF from the time of esophagectomy. Body composition was determined from computed tomography (CT) images acquired at diagnosis, after nCRT, and ≥ 3 months after surgery.
Results
In total, 81 patients received early JTF and 91 patients received routine JTF …
引用总数