Skip to main content

Role of intraoperative feeding jejunostomy in esophageal cancer surgery



Feeding jejunostomy was routinely placed during esophagectomy to ensure postoperative enteral feeding. Improved anastomosis technique and early oral feeding strategy after esophagectomy has led to question the need for the routine placement of feeding jejunostomy. The aim of this study is to evaluate role of feeding jejunostomy during Ivor Lewis operation.


We retrospectively reviewed 414 patients who underwent the Ivor Lewis operations from January 2015 to December 2018.


61 patients (14.7%) received jejunostomy insertion. The most common indication for jejunostomy was neoadjuvant concurrent chemoradiation therapy (CCRT). 48 patients (79%) had jejunostomy removed within 60 days after the surgery and the longest duration of jejunostomy inserted state was 121 days. About two-third of the patients with jejunostomy had never prescribed with an enteral feeding product. Among 353 patients without intraoperative feeding jejunostomy, 11(3.1%) received delayed jejunostomy insertion. Graft-related problems (6 patients), cancer progression (3 patients), acute lung injury (1 patient), and swallowing difficulty (1 patient) were reasons for delayed feeding jejunostomy insertion. Complication rate was relatively high as 24 patients (33.3%) out of 72 patients with jejunostomy insertion had complications and 7 patients (9.7%) visited ER more than twice with jejunostomy-related complications.


Only 3.6% patients who underwent the Ivor Lewis operation during 4-year span had anastomosis leakage. Although one-third of the patients with jejunostomy were benefited with alternative method of feeding after discharge, high complication rate regarding jejunostomy should be also considered. We believe feeding jejunostomy should not be applied routinely with prophylactic measures and should be reserved to very carefully selected patients with multiple high-risk factors.

Peer Review reports


Esophagectomy is a high-risk procedure associated with numerous morbidities and relatively high mortality, with an incidence of complications associated with the surgery between 17 and 74% [1]. The use of feeding jejunostomy has been a routine procedure for esophageal cancer surgery to ensure enteral feeding after esophagectomy. The benefits of early enteral feeding after esophagectomy have been well-recognized with improved immunity, preserved gut integrity, and reduced complications [2, 3]. Feeding jejunostomy may serve as insurance for anastomosis leakage or an alternative feeding route for patients with poor oral intake [4]. However, the incidence of anastomosis leakage and mortality has continuously declined with standardization of surgical procedures, advancement in instruments, and improved postoperative care [5]. Furthermore, the trend toward early oral feeding after gastroenteric surgery makes surgeons wonder if feeding jejunostomy is necessary after the Ivor Lewis operation because the quality of life after esophagectomy is now considered an important treatment aspect for esophageal cancer [6]. The trend of omitting feeding jejunostomy after the Ivor Lewis operation may exist because many believe that feeding jejunostomy brings unnecessary complications and lowers the quality of life. In addition, a recent study reported that feeding jejunostomy delayed rather than prevented weight loss; thereby, negating the nutritional benefit of intraoperative feeding jejunostomy [7, 8]. This study aims to evaluate the necessity of feeding jejunostomy during the Ivor Lewis operation by looking at the insertion duration of feeding jejunostomy, prescription of enteral feeding at discharge, and the first outpatient department (OPD) visit and complication rates of feeding jejunostomy.


This was a single-center retrospective study including all esophageal cancer patients who underwent the Ivor Lewis operation between 2015 and 2018. Total of 414 patients underwent the Ivor Lewis operation during the period, and charts were closely reviewed for feeding jejunostomy utility. Figure 1 shows the flow diagram for patients included for the study. Patients were grouped into two categories: intraoperative and no intraoperative feeding jejunostomy groups.

Fig. 1
figure 1

Flow diagram

The surgical strategies of the center include open laparotomy with stomach preparation and abdominal lymphadenectomy followed by thoracic lymphadenectomy, transthoracic esophagectomy, and esophageal reconstruction using circular stapler via posterolateral thoracotomy. Most surgeons preferred pyloric drainage procedure (pyloromyotomy or pylomyectomy), and feeding jejunostomy was inserted based on the decision of the surgeon. Indication for feeding jejunostomy insertion includes neoadjuvant CCRT, old age (> 75 years old), malnutrition (body mass index (BMI), < 18.5), poor performance status or poor pulmonary function test (PFT), advanced stage, concurrent stomach cancer, neck dissection or exposure to neck radiotherapy (RT), and mandatory postoperative oral medication.

Feeding jejunostomy was made at 50 cm below the Treitz ligament with 16-Fr. Foley catheter. Two 3–0 black silk were used to form inner and outer purse strings, and a hole was made using electrocautery. The Foley catheter was inserted via the left periumbilical incision. Consequently, purse strings were tied and fixed to the abdominal wall with 3–0 black silk.

Routine postoperative schedule after the Ivor Lewis operations with feeding jejunostomy insertion begins with clamping of feeding jejunostomy and administration of dextrose water at postoperative days (POD) 2 and 3, respectively.

Esophagogastroduodenoscopy (EGD) or esophagography is done at POD 4 or 5, and oral feeding begins after confirmation by the surgeon. Enteral feeding via jejunostomy may be administered as a supportive measure if oral feeding is not sufficient. Most patients omitted the use of feeding jejunostomy if EGD or esophagography showed no sign of anastomosis leakage or graft necrosis because the schedule of oral intake and enteral feeding via jejunostomy coincided. Patients with insufficient oral intake were prescribed enteral feeding at discharge. Feeding jejunostomy was kept if adjuvant chemotherapy was planned or usually removed at the first OPD.

Statistical analysis was performed using chi-square or Fisher’s exact tests for categorical variables. Student t or Mann–Whitney U tests were used for continuous data. All statistical analyses were performed using the Statistical Package for the Social Sciences, version 24.0.


This study analyzed 414 consecutive patients who received the Ivor Lewis operation with a diagnosis of esophageal cancer. Sixty-one (14.7%) patients received feeding jejunostomy during operation and 353 patients (85.3%) received esophagectomy without feeding jejunostomy insertion.

Table 1 shows the basic characteristics of the two groups. No significant differences in baseline characteristics were noted between the two groups except for the pathological T stage, where the intraoperative feeding jejunostomy group included higher percentages of T3 and T4. Also, BMI was significantly higher in the no intraoperative jejunostomy group because the indication for feeding jejunostomy insertion includes neoadjuvant CCRT and poor oral feeding before surgery. Although statistically insignificant, patients who received intraoperative feeding jejunostomy were older than patients who did not receive intraoperative feeding jejunostomy.

Table 1 Baseline characteristics

Table 2 shows the indication for intraoperative feeding jejunostomy. As explained in the Methods section, the indications for feeding jejunostomy insertion were categorized and counted by reviewing the operation record and medical charts. The most common indication for feeding jejunostomy insertion was neoadjuvant CCRT, where 23 patients received intraoperative feeding jejunostomy with the indication. Other indications include old age (> 75 years old), malnutrition (BMI < 18.5), poor PFT or poor performance status, an advanced stage where adjuvant chemotherapy is expected, concurrent stomach cancer, neck dissection or neck radiotherapy, and obligatory requirement for postoperative oral medication. The count exceeds that total number of patients who received intraoperative feeding jejunostomy as some patients had more than one indication for insertion of feeding jejunostomy. Feeding jejunostomy was routinely removed at the first OPD visit, which usually takes place about 4 weeks after the operation. Groups including neoadjuvant CCRT, old age, neck dissection, and obligatory postoperative oral medication had a median duration of feeding jejunostomy insertion less than 30 days which correlated with the first OPD date. Groups including malnutrition and an advanced stage had a relatively longer duration of feeding jejunostomy insertion. Prescription of enteral feeding at discharge or the first OPD clinic visit was also analyzed and showed in Fig. 2. Of the 61 patients who received intraoperative feeding jejunostomy, three patients expired due to postoperative complications and 58 were discharged from the hospital. Eleven (19.0%) patients were prescribed enteral feeding at discharge and at the first outpatient clinic visit. Six patients who were prescribed enteral feeding at discharge did not require further prescription at the first OPD. Three patients who were not prescribed enteral feeding at discharge were prescribed enteral feeding at the first outpatient clinic visit due to poor oral intake. Thirty-eight (65.5%) patients were never prescribed enteral feeding, neither at discharge nor at the outpatient clinics.

Table 2 Indication and duration of intraoperative feeding jejunostomy
Fig. 2
figure 2

Number of patients with prescription of enteral feeding (Encover®)

Among the 353 patients who did not receive intraoperative feeding jejunostomy, 11 patients received delayed feeding jejunostomy insertion. Table 3 shows the indication and duration for delayed feeding jejunostomy insertion. Anastomosis leakage and cancer progression were the most common causes for delayed feeding jejunostomy insertion. Graft failure, acute lung injury, postoperative fistula, and swallowing difficulty were other reasons for delayed feeding jejunostomy insertion. The average duration of feeding jejunostomy insertion was relatively longer for patients with delayed feeding jejunostomy. Two patients with cancer recurrence expired during the follow-up, and the average feeding jejunostomy duration was not counted.

Table 3 Indication and duration of delayed jejunostomy insertion

Figure 3 shows the number and distribution of complications related to feeding jejunostomy. There were 29 patients who had complications related to feeding jejunostomy. Many patients had more than one complication, and 41 feeding jejunostomy-related complications were noted. The number of emergency room (ER) visits, unscheduled OPD visits, and readmission due to feeding jejunostomy-related complications were 25, 2, and 1, respectively. There was one patient who had to visit ER four times due to feeding jejunostomy-related complications. Most complications were minor, with jejunostomy dislodgement as the most common complication. In addition, jejunostomy leakage (eight cases), jejunostomy site inflammation (six cases), jejunostomy obstruction (two cases), and aspiration pneumonia after jejunostomy feeding (one patient) were noted. One patient had jejunostomy site-related ileus, which required small bowel resection.

Fig. 3
figure 3

Number of complications related feeding jejunostomy (intraoperative and delayed)


This study demonstrates a low utilization rate (34.5%) of feeding jejunostomy and a relatively high rate (40.8%) of feeding jejunostomy-related complications after the Ivor Lewis operation. Although many investigators have reported that leaks are more common after cervical anastomosis compared to intrathoracic, numerous reports state that cervical anastomosis is equally effective as thoracic anastomosis [9,10,11]. During the four years (2015–2018), anastomosis leakage occurred at a rate of 3.6%, which correlates to 15 of 414 patients. Only 1 of the 61 patients with intraoperative feeding jejunostomy had anastomosis leakage with postoperative acute respiratory disease syndrome which resulted in an anastomosis fistula with use of steroid. This patient expired during admission. The results show that the anastomosis rate was low after the Ivor Lewis operation, and the results do not vary much when compared to other studies [5, 12, 13]. Moreover, most studies failed to identify predisposing factors for anastomosis leakage [14, 15]. Numerous indications for insertion of feeding jejunostomy with neoadjuvant CCRT, old age, advanced stage, malnutrition, poor PFT, concurrent stomach cancer, neck dissection or RT, and obligatory postoperative oral medication have been adapted. However, an anastomosis leakage rate of 1.6% for selected patients who received intraoperative feeding jejunostomy in this study have shown the difficulty in predicting anastomosis leakage after esophagectomy.

Enhanced recovery after surgery (ERAS) programs are now more widely applied to many fields of surgery, and early oral feeding is one of the key components of the ERAS program. Although early oral feeding is now the standard protocol for colorectal surgeries (on the day or day after surgery), little evidence exists after esophagectomy [6, 16, 17]. The current protocol was similar to the classical protocol with the initiation of oral intake on POD 4–5 after EGD or Esophagography. The duration of nil-by-mouth was shortened over time which, in turn, reduced the need for feeding jejunostomy in the center of this study. Furthermore, Lassen et al. showed the feasibility of early oral intake without increasing postoperative morbidity in upper gastrointestinal surgery. Yet, only eight cases of esophagectomy were included in this study [18]. The recently concluded international, multicenter, and randomized controlled NUTRIETN II trial, conducted to find the effect of the direct start of oral feeding following minimally invasive esophagectomy (MIE) compared with the standard care, has shown that direct oral feeding after an esophagectomy did not increase incidence or severity of postoperative complications [19]. However, the high incidence rate of anastomosis leakage for both the intervention and control groups leaves a question mark. Further studies are needed for more evidence of early oral feeding after esophagectomy and early oral feeding may diminish the need for feeding jejunostomy even more.

The nutritional benefit of feeding jejunostomy is also debatable. The nutritional benefit of enteral feeding has been widely recognized with rare serious complications, with some studies showing the positive effect of feeding jejunostomy on weight loss after esophagectomy and chemotherapy [20,21,22,23]. However, there are recent studies which have contradictory results. Carrol et al. [7] compared the change in relative weight and body mass over 1 year between two groups with and without feeding jejunostomy after esophagectomy and reported that routine jejunostomy delays rather than prevent weight loss after esophagectomy. Kroese et al. [24] compared weight loss between the two groups with and without feeding jejunostomy after MIE and claimed that no significant difference in weight loss exists between the groups at 3 and 6 months postoperatively. Koterazawa et al. [25] also showed similar results regarding weight loss after esophagectomy and stated that feeding jejunostomy would increase postoperative complications without improving postoperative malnutrition. The current study did not assess body weight or nutritional status simply because the feeding jejunostomy was rarely used for most patients. Groups with advanced stage and malnutrition had a substantially longer duration of feeding jejunostomy insertion compared to other groups. Many advanced stage patients had adjuvant chemotherapy, and feeding jejunostomy tubes were kept for in cases of poor oral intake during chemotherapy. Subsequently, feeding jejunostomy was removed after chemotherapy was done. Longer insertion duration did not guarantee actual usage of the feeding jejunostomy in this group as these patients were rarely prescribed enteral feeding at discharge nor outpatient clinics. It is also noticeable that patients with two or more indications for insertion of feeding jejunostomy had longer duration of jejunostomy insertion compared to patients with a single indication.

Feeding jejunostomy-related complications were common but not fatal. Previous studies reported that the overall and major complication rates of a surgically placed jejunostomy were 13–38% and 0–3%, respectively [26]. The data showed similar results as 29 (40%) of 72 patients had complications related to feeding jejunostomy. Some patients had more than one complication, with one patient visiting the ER four times with feeding jejunostomy-related complications. 27 patients (38%) had minor complications (e.g., jejunostomy dislodgement, jejunostomy leakage, jejunostomy site inflammation, and jejunostomy site obstruction). Two patients (2.7%) had major complications (one patient had aspiration pneumonia during jejunostomy feeding, and one patient had jejunostomy site related ileus, which required operation). Although minor complications did not change the course of the disease, the quality of life ought to have affected by the complications. Two-thirds of the patients with intraoperative feeding jejunostomy were never prescribed with enteral feeding. Thus, the practicality of intraoperative feeding jejunostomy during the Ivor Lewis operation is being questioned. Moreover, only 11 (3.1%) of 353 patients received delayed feeding jejunostomy. Other 342 patients (96.9%) never needed feeding jejunostomy, although some could get help because 10 patients with anastomosis leakage did not receive delayed feeding jejunostomy.

A limitation of this study is that it is a single-center retrospective study with the possibility of selection bias.


This study showed that a low rate of feeding jejunostomy usage and a relatively high rate of complications. Feeding jejunostomy was kept for longer durations for advanced stage and malnourished patients for supportive purposes, although patients who were prescribed enteral feeding at discharge did not necessarily correlate. This study suggests that feeding jejunostomy should be reserved only for the exceptionally selected cases with multiple high-risk factors in patients who undergoing Ivor Lewis operation.

Availability of data and materials




Concurrent chemoradiation therapy


Outpatient department


Body mass index


Pulmonary function test




Postoperative days




Emergency room


Enhanced recovery after surgery


Minimally invasive esophagectomy


  1. Low DE, Kuppusamy MK, Alderson D, Cecconello I, Chang AC, Darling G, et al. Benchmarking complications associated with esophagectomy. Ann Surg. 2019;269(2):291–8.

    Article  PubMed  Google Scholar 

  2. Lubbers T, Buurman W, Luyer M. Controlling postoperative ileus by vagal activation. World J Gastroenterol. 2010;16(14):1683–7.

    Article  PubMed  PubMed Central  Google Scholar 

  3. Moore FA, Feliciano DV, Andrassy RJ, McArdle AH, Booth FV, Morgenstein-Wagner TB, et al. Early enteral feeding, compared with parenteral, reduces postoperative septic complications. The results of a meta-analysis. Ann Surg. 1992;216(2):172–83.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  4. Weijs TJ, Berkelmans GH, Nieuwenhuijzen GA, Ruurda JP, van Hillegersberg R, Soeters PB, et al. Routes for early enteral nutrition after esophagectomy. A systematic review. Clin Nutr. 2015;34(1):1–6.

    Article  PubMed  Google Scholar 

  5. Rutegard M, Lagergren P, Rouvelas I, Lagergren J. Intrathoracic anastomotic leakage and mortality after esophageal cancer resection: a population-based study. Ann Surg Oncol. 2012;19(1):99–103.

    Article  PubMed  Google Scholar 

  6. Berkelmans GHK, Fransen L, Weijs TJ, Lubbers M, Nieuwenhuijzen GAP, Ruurda JP, et al. The long-term effects of early oral feeding following minimal invasive esophagectomy. Dis Esophagus. 2018;31(1):1–8.

    Article  CAS  PubMed  Google Scholar 

  7. Carroll PA, Yeung JC, Darling GE. Elimination of routine feeding jejunostomy after esophagectomy. Ann Thorac Surg. 2020;110(5):1706–13.

    Article  PubMed  Google Scholar 

  8. Tham JC, Dovell G, Berrisford RG, Humphreys ML, Wheatley TJ, Sanders G, et al. Routine use of feeding jejunostomy in oesophageal cancer resections: results of a survey in England. Dis Esophagus. 2020;33(4):doz075.

    Article  PubMed  Google Scholar 

  9. Blewett CJ, Miller JD, Young JE, Bennett WF, Urschel JD. Anastomotic leaks after esophagectomy for esophageal cancer: a comparison of thoracic and cervical anastomoses. Ann Thorac Cardiovasc Surg. 2001;7(2):75–8.

    CAS  PubMed  Google Scholar 

  10. Walther B, Johansson J, Johnsson F, Von Holstein CS, Zilling T. Cervical or thoracic anastomosis after esophageal resection and gastric tube reconstruction: a prospective randomized trial comparing sutured neck anastomosis with stapled intrathoracic anastomosis. Ann Surg. 2003;238(6):803–12. ((discussion 812–4)).

    Article  PubMed  PubMed Central  Google Scholar 

  11. Shah DR, Martinez SR, Canter RJ, Yang AD, Bold RJ, Khatri VP. Comparative morbidity and mortality from cervical or thoracic esophageal anastomoses. J Surg Oncol. 2013;108(7):472–6.

    Article  PubMed  Google Scholar 

  12. Griffin SM, Shaw IH, Dresner SM. Early complications after Ivor Lewis subtotal esophagectomy with two-field lymphadenectomy: risk factors and management. J Am Coll Surg. 2002;194(3):285–97.

    Article  PubMed  Google Scholar 

  13. Martin LW, Swisher SG, Hofstetter W, Correa AM, Mehran RJ, Rice DC, et al. Intrathoracic leaks following esophagectomy are no longer associated with increased mortality. Ann Surg. 2005;242(3):392–9. ((discussion 399–402)).

    Article  PubMed  PubMed Central  Google Scholar 

  14. Junemann-Ramirez M, Awan MY, Khan ZM, Rahamim JS. Anastomotic leakage post-esophagogastrectomy for esophageal carcinoma: retrospective analysis of predictive factors, management and influence on longterm survival in a high volume centre. Eur J Cardiothorac Surg. 2005;27(1):3–7.

    Article  CAS  PubMed  Google Scholar 

  15. Peracchia A, Bardini R, Ruol A, Asolati M, Scibetta D. Esophagovisceral anastomotic leak. A prospective statistical study of predisposing factors. J Thorac Cardiovasc Surg. 1988;95(4):685–91.

    Article  CAS  Google Scholar 

  16. Lewis SJ, Egger M, Sylvester PA, Thomas S. Early enteral feeding versus “nil by mouth” after gastrointestinal surgery: systematic review and meta-analysis of controlled trials. BMJ. 2001;323(7316):773–6.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  17. Findlay JM, Gillies RS, Millo J, Sgromo B, Marshall RE, Maynard ND. Enhanced recovery for esophagectomy: a systematic review and evidence-based guidelines. Ann Surg. 2014;259(3):413–31.

    Article  PubMed  Google Scholar 

  18. Weijs TJ, Berkelmans GH, Nieuwenhuijzen GA, Dolmans AC, Kouwenhoven EA, Rosman C, et al. Immediate postoperative oral nutrition following esophagectomy: a multicenter clinical trial. Ann Thorac Surg. 2016;102(4):1141–8.

    Article  PubMed  Google Scholar 

  19. Berkelmans GHK, Fransen LFC, Dolmans-Zwartjes ACP, Kouwenhoven EA, van Det MJ, Nilsson M, et al. Direct Oral feeding following minimally invasive esophagectomy (NUTRIENT II trial): an international, multicentre, open-label randomized controlled trial. Ann Surg. 2020;271(1):41–7.

    Article  PubMed  Google Scholar 

  20. Mohamed IM, Whiting J, Tan BH. Impact of regular enteral feeding via jejunostomy during neo-adjuvant chemotherapy on body composition in patients with oesophageal cancer. World J Gastrointest Oncol. 2019;11(12):1182–92.

    Article  PubMed  PubMed Central  Google Scholar 

  21. Martin L, Lagergren J, Jia C, Lindblad M, Rouvelas I, Viklund P. The influence of needle catheter jejunostomy on weight development after oesophageal cancer surgery in a population-based study. Eur J Surg Oncol. 2007;33(6):713–7.

    Article  CAS  PubMed  Google Scholar 

  22. Sica GS, Sujendran V, Wheeler J, Soin B, Maynard N. Needle catheter jejunostomy at esophagectomy for cancer. J Surg Oncol. 2005;91(4):276–9.

    Article  PubMed  Google Scholar 

  23. Ryan AM, Rowley SP, Healy LA, Flood PM, Ravi N, Reynolds JV. Post-oesophagectomy early enteral nutrition via a needle catheter jejunostomy: 8-year experience at a specialist unit. Clin Nutr. 2006;25(3):386–93.

    Article  PubMed  Google Scholar 

  24. Kroese TE, Tapias L, Olive JK, Trager LE, Morse CR. Routine intraoperative jejunostomy placement and minimally invasive oesophagectomy: an unnecessary step? Dagger. Eur J Cardiothorac Surg. 2019;56(4):746–53.

    Article  PubMed  Google Scholar 

  25. Koterazawa Y, Oshikiri T, Hasegawa H, Yamamoto M, Kanaji S, Yamashita K, et al. Routine placement of feeding jejunostomy tube during esophagectomy increases postoperative complications and does not improve postoperative malnutrition. Dis Esophagus. 2020;33(1):doz021.

    Article  PubMed  Google Scholar 

  26. Berkelmans GH, van Workum F, Weijs TJ, Nieuwenhuijzen GA, Ruurda JP, Kouwenhoven EA, et al. The feeding route after esophagectomy: a review of literature. J Thorac Dis. 2017;9(Suppl 8):S785–91.

    Article  PubMed  PubMed Central  Google Scholar 

Download references


Not applicable


This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.

Author information

Authors and Affiliations



Conception and design of the study: MSK, JHC. Acquisition, analysis and interpretation of data: MSK, YMS, JHC. Manuscript drafting and revision: MSK, JHC. Final approval of manuscript: SS, HKK, YSC, JIZ, YMS, JHC. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Jong Ho Cho.

Ethics declarations

Ethics approval and consent to participate

Date and Number of IRB Approval: SMC 2021–03-088–001.

Consent for publication


Competing Interests

The authors have nothing to disclose.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit The Creative Commons Public Domain Dedication waiver ( applies to the data made available in this article, unless otherwise stated in a credit line to the data.

Reprints and Permissions

About this article

Verify currency and authenticity via CrossMark

Cite this article

Kim, M.S., Shin, S., Kim, H.K. et al. Role of intraoperative feeding jejunostomy in esophageal cancer surgery. J Cardiothorac Surg 17, 191 (2022).

Download citation

  • Received:

  • Accepted:

  • Published:

  • DOI:


  • Feeding jejunostomy
  • Ivor Lewis operation
  • Esophagectomy
  • Complications