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A Journal on Surgery
Indexed/Abstracted in: EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
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Minerva Chirurgica 1999 July-August;54(7-8):551-8
Nasojejunum tube in early postoperative feeding
Monteferrante E., Mancini G., Pedrazzoli C., Rozzi F., Ciampaglia F., Manso L., Listorto G.
Background. To verify the effectiveness of the nasojejunum tube inserted during operation as an alternative to jejunostomy to perform early enteral feeding.
Methods. Experimental design: prospective study. Setting: department of Surgery, General Hospital. Patients: 27 patients undergoing la-parotomy because of a gastric pathology. Interventions: in 18 patients before construction of the distal jejunum anastomosis the tube was inserted by nasal route and advanced into the jejunum ansa until the end reached 15 to 20 cm down the anastomosis (group A); 9 patients underwent a jejanostomy according to Delany (group B). All the patients started enteral feading 24 hours after operation and had the same polymeric diet, given to them using the same procedures. Measures: postoperative complications, tube intolerance, intestinal tolerance.
Results. The degree of non-acceptance of the tube was: absent in 3 patients of group A and in 7 patients of group B (p>0.05); slight in 6 patients of group A and in 2 patients of group B (p>0.05); medium in 9 patients of group A and in no one of the group B (p no measurable); high in neither groups. The intestinal tolerance was similar in both groups.
Conclusions. Nasojejunum tube is an effective alternative to jejunostomy to perform early postoperative enteral feeding.