Objectives: The purpose of this study was to investigate the effects not using routine nasogastric (NG) or nasojejunal (NJ) tubes on postoperative complications in gastric cancer patients undergoing resection. Methods: This includes 250 who underwent resection diagnosed with adenocarcinoma between November 2011 and December 2021. were divided into two groups: those routinely use NG NJ tube earl...

Enteral tube feeding is usually a relatively straightforward method of nutritional support, and should be facilitated by a multiprofessional team. For short-term use (<4 weeks) a fine bore feeding nasogastric tube is indicated but if longer term feeding is required then a gastrostomy is appropriate, usually inserted endoscopically (a percutaneous endoscopic gastrostomy tube). The most common se...

Placement of percutaneous jejunostomy tubes using fluoroscopy may be technically challenging because of the peristaltic motion of small bowel loops within the peritoneum. Furthermore, fluoroscopic jejunostomy placement has an inherent risk of complications, including peritonitis and death. A transnasal snare technique to facilitate direct jejunostomy in patients with a surgically altered gastri...

Introduction: superior mesenteric artery syndrome is a rare condition of obstruction to the third part of duodenum. Identification of this syndrome is challenging and is frequently made by a process of exclusion. case report: We report the first case of superior mesenteric artery syndrome in a severely cachectic schizophrenic patient with paranoid delusions who presented with features of proxim...

Nutritional support is often an integral part of patient management. There are three principal access routes used for nutrient delivery: oral, enteral (tube feeding) and parenteral. Tube feeding is indicated for those patients who, in the presence of a functional gastrointestinal tract, cannot, should not or will not consume adequate nutrition orally. A number of different routes may be used in...

CONTEXT Necrotizing pancreatitis is the most serious form of pancreatic inflammatory disease leading to multiorgan failure and a high (15-20%) mortality rate. The poor nutritional and metabolic conditions and secondary bacterial translocation raise the mortality rate even more. OBJECTIVE The aim of the study was to evaluate the effect of jejunal feeding in cases of chronic pancreatitis with e...

OBJECTIVE To compare the efficacy and cost of enteral and parenteral feeding after total gastrectomy. DESIGN Prospective randomised open study. SETTING University hospital, Finland. SUBJECTS 29 patients undergoing curative total gastrectomy for gastric cancer. INTERVENTIONS 13 patients were given early enteral feeding by nasojejunal tube and 16 patients parenteral nutrition by central v...

BACKGROUND AND OBJECTIVES The potential benefits of home enteral nutrition (HEN) and the effects of HEN on quality of life (QOL) after esophagectomy remain unclear. The aim was to investigate the effect of 3 months HEN on health related QOL and nutritional status of esophageal cancer patients who were preoperatively malnourished. METHODS AND STUDY DESIGN 142 malnourished (PG-SGA stage B or C)...

INTRODUCTION Clostridium difficile infections (CDI) are common, costly and potentially life threatening. Most CDI will respond to antibiotic therapy, but 3%-10% of all patients with CDI will progress to a severe, life-threatening course. Complete removal of the large bowel is indicated for severe CDI. However, the 30-day mortality following surgical intervention for severe CDI ranges from 20% t...