[The nasojejunal tube in early postoperative nutrition].
BACKGROUND
To verify the effectiveness of the nasojejunal tube inserted during operation as an alternative to jejunostomy to perform early enteral feeding.


METHODS



METHODS
Prospective study.


METHODS
Department of Surgery, General Hospital.


METHODS
27 patients undergoing laparotomy because of a gastric pathology.


METHODS
In 18 patients before construction of the distal jejunum anastomosis the tube was inserted by nasal route and advanced into the jejunum ansa until the end reached 15 to 20 cm down the anastomosis (group A); 9 patients underwent a jejunostomy according to Delany (group B). All the patients started enteral feeding 24 hours after operation and had the same polymeric diet, given to them using the same procedures.


METHODS
postoperative complications, tube intolerance, intestinal tolerance.


RESULTS
The degree of non-acceptance of the tube was: absent in 3 patients of group A and in 7 patients of group B (p > 0.05); slight in 6 patients of group A and in 2 patients of group B (p > 0.05); medium in 9 patients of group A and in no one of the group B (p no measurable); high in neither groups. The intestinal tolerance was similar in both groups.


CONCLUSIONS
Nasojejunal tube is an effective alternative to jejunostomy to perform early postoperative enteral feeding.
Monteferrante
E
E
Divisione di Chirurgia, Azienda USL 03, Lanciano, Vasto, CH.
Mancini
G
G
Pedrazzoli
C
C
Rozzi
F
F
Ciampaglia
F
F
Manso
L
L
Listorto
G
G
D000368:Aged; D000369:Aged, 80 and over; D004750:Enteral Nutrition / Q000295:instrumentation* / Q000379:methods / Q000706:statistics & numerical data; D005069:Evaluation Studies as Topic; D006801:Humans; D007582:Jejunostomy / Q000706:statistics & numerical data; D008875:Middle Aged; D011182:Postoperative Care / Q000295:instrumentation* / Q000379:methods / Q000706:statistics & numerical data; D013274:Stomach Neoplasms / Q000601:surgery; D013997:Time Factors