Objectives: Aim of our work is to study the effect of early enteral feeding
through either nasoentral or feeding jejunostomy tube post esophagectomy on
patients recovery and hospital stay. Background: Postoperative nutrition is a
well known aspect of care in recent years and has been shown to decrease the
incidence of complications and hospital stay. Enteral nutrition has been
shown to be superior to parenteral nutrition as it is more physiological, safer,
cheaper and early enteral nutrition has been clearly confirmed to reduce
postoperative morbidity. Methods: This is randomized combined retrospective
and prospective study that is conducted in surgical oncology department,
South Egypt cancer institute, Assiut University; from October 2012 to October
2016. Patients in this study were divided into two groups: group 1 includes
patients with feeding jejunostomy and group 2 is patients with nasoenteral
tube. Results: 25 Patients included in this study (19 males & 6 females). All
cases were primarily diagnosed as esophageal cancer, middle and lower 1/3
esophagus or proximal gastric carcinoma infiltrating cardia by clinical data
associated with abdominal sonar and/or C.T scan and upper endoscopy with
biopsy. There was no significant difference in catheter related complications
(P value 0.238). There was no operative mortality. Conclusion: Early postoperative
enteral nutrition was feasible and safe for patients undergoing esophagectomy.
There is no significant difference between NE and FJ. Enteral
nutrition either through nasoenteral or feeding jejunostomy is an effective
method for postoperative nutritional support in this type of major surgery.