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Review
. 2025 Jan;77(1):153-164.
doi: 10.1007/s13304-024-02022-y. Epub 2024 Oct 31.

Nutritional support via feeding jejunostomy in esophago-gastric cancers: proposal of a common working strategy based on the available evidence

Riccardo Caccialanza #  1 , Valentina Da Prat #  1 , Raffaele De Luca  2 , Jacopo Weindelmayer  3 , Amanda Casirati  1 , Giovanni De Manzoni  4
Affiliations
Review

Nutritional support via feeding jejunostomy in esophago-gastric cancers: proposal of a common working strategy based on the available evidence

Riccardo Caccialanza et al. Updates Surg. 2025 Jan.

Abstract

Malnutrition is common in patients affected by esophago-gastric cancers and has a negative impact on both clinical and economic outcomes. Yet not all patients at risk of malnutrition are routinely assessed and receive appropriate support. Further, available research does not provide a mean for standardization of timing, route, and dosage for nutritional support, and this is particularly true for enteral nutrition via feeding jejunostomy. Herein, we provide an overview of the current evidence and use the gathered knowledge as a starting point for a consensus proposal. As a result, we aim to facilitate the development of appropriate and uniformed interventions, thus fulfilling the need for a multimodal therapeutic approach in these set of cancer patients.

Keywords: Enteral nutrition; Esophago-gastric cancer; Feeding jejunostomy; Nutritional support.

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Conflict of interest statement

Declarations. Conflict of interests: Authors have no financial or non-financial interests to disclose related to the submitted work. The authors affiliated to the IRCCS Istituto Tumori “Giovanni Paolo II”, Bari are responsible for the views expressed in this article, which do not necessarily represent the Institute. Research involving human participants and/or animals: This article does not contain any studies with human participants or animals performed by any of the authors. Informed consent: For this type of study formal consent is not required.

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