Jejunostomy after esophagectomy

Lindsey A. Clemson, Christine Fisher, Terrell A. Singleton, Joseph B. Zwischenberger

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review

Abstract

Esophageal resection is indicated most often for treatment of localized esophageal cancer and Barrett's esophagus with high grade dysplasia. Despite the improved techniques utilized for resection, Karl and colleagues report esophagectomy continues to be associated with a 30-day mortality of 2.1% and a 3-year survival of 29.6%. Overall, 29% of patients experience complications such as anastomotic leaks (3.5%) and pulmonary complications (19%). Approximately 58% of patients with esophageal cancer present with significant weight loss. These patients often have nutritional deficiencies due to the obstructive nature of the tumor and the catabolic effects of the malignancy. Poor preoperative nutritional status may increase the risk of postoperative complications and therefore nutritional support is a treatment modality that may directly impact outcomes.

Original languageEnglish
Title of host publicationDifficult Decisions in Thoracic Surgery
Subtitle of host publicationAn Evidence-Based Approach
Pages242-249
Number of pages8
DOIs
StatePublished - 2007

ASJC Scopus subject areas

  • Medicine (all)

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