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| 1 | Critical analysis of feeding jejunostomy following resection of upper gastrointestinal malignancies显示文摘AIM To assess nutritional recovery,particularly regarding feeding jejunostomy tube(FJT)utilization,following upper gastrointestinal resection for malignancy. METHODS A retrospective review was performed of a prospectively-maintained database of adult patients who underwent esophagectomy or gastrectomy(subtotal or total)for cancer with curative intent,from January 2001 to June 2014. Patient demographics,the approach to esophagectomy,the extent of gastrectomy,FJT placement and utilization at discharge,administration of parenteral nutrition(PN),and complications were evaluated. All patients were followed for at least ninety days or until death.RESULTS The 287 patients underwent upper GI resection,comprised of 182 esophagectomy(n=107 transhiatal,58.7%; n=56 Ivor-Lewis,30.7%)and 105 gastrectomy [n=63 subtotal(SG),60.0%; n=42 total(TG),40.0%]. 181 of 182 esophagectomy patients underwent FJT,compared with 47 of 105 gastrectomy patients(99.5% vs 44.8%,P < 0.0001),of whom most had undergone TG(n=39,92.9% vs n=8 SG,12.9%,P < 0.0001). Median length of stay was similar between esophagectomy and gastrectomy groups(14.7 d vs 17.1 d,P=0.076). Upon discharge,87 esophagectomy patients(48.1%)were taking enteral feeds,with 53(29.3%)fully and 34(18.8%)partially dependent. Meanwhile,20 of 39 TG patients(51.3%)were either fully(n=3,7.7%)or partially(n=17,43.6%)dependent on tube feeds,compared with 5 of 8 SG patients(10.6%),all of whom were partially dependent. Gastrectomy patients were significantly less likely to be fully dependent on tube feeds at discharge compared to esophagectomy patients(6.4% vs 29.3%,P=0.0006). PN was administered despite FJT placement more often following gastrectomy than esophagectomy(n=11,23.4% vs n=7,3.9%,P=0.0001). FJT-specific complications requiring reoperation within 30 d of resection occurred more commonly in the gastrectomy group(n=6),all after TG,compared to 1 esophagectomy patient(12.8% vs 0.6%,P=0.0003). Six of 7 patients(85.7%)who experienced tube-related complications required PN.CONCLUSION Nutritional recovery following esophagectomy and gastrectomy is distinct. Operations are associated with unique complication profiles. Nutritional supplementation alternative to jejunostomy should be considered in particular scenarios. | Andrew M Blakely Saad Ajmal Rachel E Sargent Thomas T Ng Thomas J Miner | 2017 | World Journal of Gastrointestinal Surgery2017，9，2： | 4 |
| 2 | Transcranial magnetic stimulation in psychiatric therapy显示文摘 | Zyss T Rachel W Datka W | 2015 | Przegl Lek2015，72，7： | 1 |
| 3 | Biomarkers of Alzheimer disease 显示文摘 | Rachel W Grela A Zyss T | 2014 | Przegl Lek2014，71，2： | 1 |
| 4 | Evaluation the reinforcing effects of choice in comparison to reinforcement rate 显示文摘 | Rachel H T Wayne W F Stephanie A C | 1998 | Research in Developmental Disabilities1998，19，2： | 1 |
| 5 | Evaluation the reinforcing effects of choice in comparison to reinforcement rate显示文摘 | Rachel H T Wayne W F Stephanie A C | 1998 | Research in Developmental Disabilities1998，19，2： | 1 |
| 6 | Personal involvement as a determinant of argument-based persuasion 显示文摘 | Petty R E John T C Rachel G | 1981 | Journal of Personality and Social Psychology1981，41，5： | 1 |
| 7 | High through-put screening for induced point mutation 显示文摘 | Colbert T Till B J Rachel T | 2001 | Plant Physio12001，126，： | 1 |
| 8 | MACROPHAGE MIGRATION INHIBITORY FACTOR LEVELS CORRELATE WITH FATAL OUTCOME IN SEPSIS显示文摘 | Fernando A Bozza Rachel N Gomes André M Japiassú Marcio Soares Hugo C Castro-Faria-Neto Patrìcia T Bozza Marcelo T Bozza | 2004 | Shock2004，，4： | 1 |
| 9 | Respiratory activity in the marine cyanobacterium Spirulina subsalsa and its role in salt tolerance显示文摘 | Rachel G A Mordechay S Khoshana T O Rachel M Elisha T O | 1992 | Arch Micobiol1992，157，2： | 1 |
| 10 | Risk factors for adverse events in children with colds emerging from anesthesia : a logistic regression 显示文摘 | RACHEL HOMER J ELWOOD T PETERSON D | 2007 | Paediatr Anaesth2007，17，2： | 1 |
| 11 | FGFR-1 amplification drives endocrine therapy resistance and is a therapeutic target in breast cancer显示文摘 | Nicholas T Alex P Rachel S | 2010 | Cancer Research2010，70，5： | 1 |
| 12 | β-blocker continuation after noncardiac surgery:a report from the surgical care and outcomes assessment program显示文摘 | Steve K Rachel T Michael F | | 0，，： | 1 |
| 13 | Substrate dependent stability of conducting polymer coatings on medical electrodes 显示文摘 | Rylie A G Rachelle T H Lucie B | 2012 | Biomaterials2012，33，25： | 1 |
| 14 | The association of plasma fibrinogen concentration with diabetic microvascular complications in young adults with early - onset of type 2 dia- betes 显示文摘 | Duc Son N T L Rachelle M Peter J | 2008 | Diabetes Research and Clinical Practice2008，82，31： | 1 |
| 15 | Evolution of Taiwan's Health- care System 显示文摘 | Rachel Lu J F Chiang T L | 2011 | Health Economics2011，6，1： | 1 |
| 16 | cytochrome P450(CYP2C9) allele frequencies in Canadian native Indian and inuit populations显示文摘 | Andrea K William L Rachel T | 2001 | Canadian J phsiology and pharmacology2001，79，6： | 1 |
| 17 | The extended QUALIFLEX method for multiple criteria decision analysis based on interval type-2 fuzzy sets and applications to medical decision making显示文摘 | Chen T Y Chang C H Rachel Lu J F | 2013 | European J of Operational Research2013，226，3： | 1 |
| 18 | 三磁性的回声 arthrography 的评论联系了感染显示文摘 We report three cases of intra-articular infection which followed injection for magnetic resonance arthrography. In an effort to reduce the risk of arthrogram related infection, representatives from radiology, infectious disease medicine, and microbiology departments convened to analyze the contributing factors. The proposed source was oral contamination from barium swallow studies which preceded the arthrogram injections in the same room. We propose safety measures to reduce incidence of arthrogram related infections. | Andrew T Vollman Joseph G Craig Rachel Hulen Abraham Ahmed Marcus J Zervos Marnix van Holsbeeck | 2013 | World Journal of Radiology2013，5，2： | 1 |
| 19 | Partners and Strangers Revisited 显示文摘 | Rachel T A Croson | 1996 | Economics Letters1996，，53： | 1 |
| 20 | Photoreceptor sensory cilia and ciliopathies :focus on CEP290 ,RPGR and their interacting proteins 显示文摘 | Rachel RA Li T Swaroop A | 2012 | Cilia2012，1，： | 1 |
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