Difficult Decisions in Thoracic Surgery by Unknown

Author:Unknown
Language: eng
Format: epub, pdf
ISBN: 9783030474041
Publisher: Springer International Publishing

RCT randomized controlled trial, RS retrospective study

Jejunostomy Tube Versus Total Parenteral Nutrition

Postoperative feeding by means of a jejunostomy tube was compared with total parenteral nutrition in four studies (i.e. two randomized controlled trials [25, 26] and two retrospective cohort studies [27, 28]). The key findings of these studies are shown in Table 29.3. In light of the limited number of comparative studies on this topic, there is moderate evidence that jejunostomy tube feeding provides benefits over total parenteral nutrition in terms of postoperative weight loss, fluid balance, and immunological recovery. Moreover, there is low quality evidence that jejunostomy tube feeding is associated with earlier return of bowel function and shorter length of hospital stay, while achieving similar nutritional outcomes when compared with total parenteral nutrition. The use of a jejunostomy tube is therefore weakly recommended over total parenteral nutrition.Table 29.3Overview of evidence and recommendations regarding the use of jejunostomy tube feeding versus total parenteral tube feeding in patients undergoing esophagectomy according to the GRADE system

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