African Annals of
Thoracic and Cardiovascular Surgery

OFFICIAL PUBLICATION OF THE AFRICAN ASSOCIATION OF THORACIC AND CARDIO-VASCULAR SURGEONS
  • Abbreviation: Afr. Ann. Thorac. Cardiovasc. Surg.
  • Language: English
  • ISSN: 1994-7461
  • DOI: 10.5897/AATCVS
  • Start Year: 2005
  • Published Articles: 29

Full Length Research Paper

Outcome of feeding enterostomy for nutritional rehabilitation in dysphagia

ANUMENECHI N.
  • ANUMENECHI N.
  • Cardiothoracic Surgery Unit, Department of Surgery, Ahmadu Bello University Hospital, Zaria, Kaduna, Nigeria
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EDAIGBINI S.A.
  • EDAIGBINI S.A.
  • Cardiothoracic Surgery Unit, Department of Surgery, Ahmadu Bello University Hospital, Zaria, Kaduna, Nigeria
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AMINU M.B.
  • AMINU M.B.
  • Cardiothoracic Surgery Unit, Department of Surgery, Ahmadu Bello University Hospital, Zaria, Kaduna, Nigeria
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DELIA I.Z.
  • DELIA I.Z.
  • Cardiothoracic Surgery Unit, Department of Surgery, Ahmadu Bello University Hospital, Zaria, Kaduna, Nigeria
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  • Article Number - A16FC7F60883
  • Vol.10(2), pp. 100-104, December 2015
  •  Received: 15 August 2015
  •  Published: 31 December 2015

Abstract

Background: feeding enterostomy is used to build up patients with dysphagia bj definitive surgery. Objective: to evaluate the achievement of nutritional goals in dysphagia patients and to suggest management protocols. Methodology: A retrospective study of feeding enterostomies for dysphagia over 4 years. The preoperative, post-operative weights and progression to definitive esophageal replacement were analyzed. Results: There were 34 patients, records were available for 29 patients, ages ranged from 1.5 to 90 years, mean age was 29.7years, and male to female ratio was 3:7. The causes of dysphagia were corrosive esophageal stricture-12, esophageal cancer-13, pharyngeal tumor-3 and mediastinal mass 1. The duration of symptoms ranged from 3 weeks to 106 weeks (mean 26.4 weeks). Preoperative weight ranged from 6.2 – 68 kg (mean 24.1kg), postoperative weight was between 7 – 65 kg (mean 25.7kg); follow up period ranged from 0.5 to 12 months (mean 3.2 months), weight gain was negative for those who had their last weight check by 6 weeks post op (p value 0.057). 15 patients (52%) proceeded to have definitive esophageal replacement surgery. Conclusion: Feeding enterostomy was successful in nutritional rehabilitation of dysphagia patients and 6 weeks may be required to appreciate positive weight gain. There is a need for standard protocols for better management and follow-up of these patients.

Key-words : Feeding enterostomy, Dysphagia, Outcome, Rehabilitation.