Linked Life Data

15166987

Source:http://linkedlifedata.com/resource/pubmed/id/15166987

Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
6
pubmed:dateCreated
2004-5-28
pubmed:abstractText
The timing of percutaneous endoscopic gastrostomy (PEG) tube placement in patients who undergo cervical esophageal reconstruction using free jejunal transfer is controversial. The purpose of this study was to review the authors' experience with pharyngeal reconstruction using free jejunal transfer to establish useful guidelines for enteral tube placement. A retrospective analysis of all patients treated with free jejunal autografts for reconstruction of cervical esophageal defects during a 12-year period was performed. A total of 105 patients underwent 108 esophageal reconstructions using these techniques. Sixty-three patients (60%) did not have enteral tube placement at any time, whereas 42 patients had gastrostomy or PEG tubes placed preoperatively (n = 12), intraoperatively (n = 8), or postoperatively. The majority of patients were able to resume per-oral feeds and avoid long-term tube feeds (86.7%). Most patients who underwent preoperative or intraoperative enteral tube feed placement had them removed postoperatively (82%). Only patients who required postoperative placement of feeding tubes required prolonged feeding tube support. In conclusion, most patients who undergo esophageal reconstruction using free jejunal transfer recover the ability to swallow and maintain adequate nutrition without supplemental enteral tube feeds. Preoperative gastrostomy tube placement is not necessary in most patients unless severe preoperative nutritional compromise is present.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Jun
pubmed:issn
0148-7043
pubmed:author
pubmed:issnType
Print
pubmed:volume
52
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
578-80
pubmed:dateRevised
2004-11-17
pubmed:meshHeading
pubmed:year
2004
pubmed:articleTitle
Timing of percutaneous endoscopic gastrostomy tube placement after cervical esophageal reconstruction with free jejunal transfer.
pubmed:affiliation
Division of Plastic and Reconstructive Surgery, Memorial Sloan-Kettering Cancer Center, New York, NY 10021, USA. Meharab@mskcc.org
pubmed:publicationType
Journal Article