Laparoscopic jejunostomy for obstructing upper gastrointestinal malignancies

Tsujimoto,Hironori; Hiraki,Shuichi; Takahata,Risa; Nomura,Shinsuke; Ito,Nozomi; Kanematsu,Kyohei; Horiguchi,Hiroyuki; Aosasa,Suefumi; Yamamoto,Junji; Hase,Kazuo

doi:10.3892/mco.2015.612

November-2015 Volume 3 Issue 6

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November-2015 Volume 3 Issue 6

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Article

Laparoscopic jejunostomy for obstructing upper gastrointestinal malignancies

Authors:
- Hironori Tsujimoto
- Shuichi Hiraki
- Risa Takahata
- Shinsuke Nomura
- Nozomi Ito
- Kyohei Kanematsu
- Hiroyuki Horiguchi
- Suefumi Aosasa
- Junji Yamamoto
- Kazuo Hase
View Affiliations / Copyright

Affiliations: Department of Surgery, National Defense Medical College, Tokorozawa, Saitama 359‑8513, Japan
Pages: 1307-1310
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Published online on: July 30, 2015

https://doi.org/10.3892/mco.2015.612
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Abstract

The aim of this study was to describe a minimally invasive laparoscopic jejunostomy (Lap‑J) technique for obstruction due to upper gastrointestinal malignancies and evaluate the nutritional benefit of Lap‑J during neoadjuvant chemotherapy (NAC) in cases with obstructing esophageal cancer. Under general anesthesia, the jejunum 20‑30 cm distant from the Treitz ligament was pulled out through an extended umbilical laparoscopic incision and a jejunal tube was inserted to 30 cm. The loop of bowel was gently returned to the abdomen and the feeding tube was drawn through the abdominal wall via the left lower incision. The jejunum was then laparoscopically sutured to the anterior abdominal wall. Lap‑J was performed in 26 cases. The median operative time was 82 min. The postoperative course was uneventful. Lap‑J prior to NAC was not associated with a decrease in body weight or serum total protein during NAC, compared with patients who received NAC without Lap‑J. This minimally invasive jejunostomy technique may be particularly useful in patients in whom endoscopic therapy is not feasible due to obstruction from upper gastrointestinal malignancies.

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Journals

International Journal of Molecular Medicine

International Journal of Oncology

Molecular Medicine Reports

Oncology Reports

Experimental and Therapeutic Medicine

Oncology Letters

Biomedical Reports

Molecular and Clinical Oncology

World Academy of Sciences Journal

International Journal of Functional Nutrition

International Journal of Epigenetics

Medicine International

Laparoscopic jejunostomy for obstructing upper gastrointestinal malignancies

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Abstract

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