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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 | Two illustrations of the quantity theory of money: Breakdowns and revivals显示文摘 | Sargent Thomas J and Surico Paolo | 2011 | Ameri- can Economic Review2011，101，1： | 1 |
| 3 | Rational expectations and the theory of economic policy显示文摘 | Sargent Thomas J and Wallace Neil | 1976 | Journal of Monetary Eco- nomics1976，，2： | 1 |
| 4 | Some Unpleasant Monetarist Arith-metic显示文摘 | Sargent Thomas J Wallace Neff | 1981 | Federal reserve bank of Mimepolis Quarterly Review1981，，3： | 1 |
| 5 | Green barriers trade and its influences on China' s foreign trade显示文摘 | Thomas J Sargent | | 0，，11： | 1 |
| 6 | Formulating and Estimating Dynamic Linear Rational Expectations Models 显示文摘 | LARS PETER HANSEN THOMAS J SARGENT | 1980 | Journal of Economic Dynamics and Control1980，，2： | 1 |
| 7 | Rational expectations,the optimal monetary instrument,and the optimal money supply rule显示文摘 | Sargent Thomas J Wallance Neil | 1975 | Journal of Political Economy1975，83，： | 1 |
| 8 | Estimation of Dynamic Labor Demand Schedules Under Rational expecta- tions 显示文摘 | Sargent Thomas J | 1978 | The Journal of Political Economy1978，，86： | 1 |
| 9 | A note on the' aceelera- tionist' controversy 显示文摘 | Sargent Thomas J | 1971 | Journal of Money Credit and Banking1971，3，3： | 1 |
| 10 | , and Nell Wallace Rational' Expectatiorrs, the Optimal Monetary Instrument, and the Optimal Money Supply Rule显示文摘 | Sargent Thomas J | 1975 | Journal of Political Economy1975，83，2： | 1 |
| 11 | A Classical Macroeconometric Model for the United States显示文摘 | Sargent Thomas J | | 0，，： | 1 |
| 12 | Rational Expectations, Econometric Exogeneity,and Consumption显示文摘 | Sargent Thomas J | | 0，，： | 1 |
| 13 | Impacts of priors onconvergence and escapes from Nash inflation显示文摘 | THOMAS J SARGENT NOAH WILLIAMS | 2005 | Review of E-conomic Dynamics2005，8，4： | 1 |
| 14 | Two Models of Measurements and the Investment Accelerator显示文摘 | Sargent Thomas J | | 0，，： | 1 |
| 15 | The termstructure of interest rates in canada显示文摘 | DOBELL RODNEY THOMAS J SARGENT | 1969 | Canadian Journalof Economics1969，，2： | 1 |
| 16 | Beyond Demand and Supply Curves in Macroeconomics显示文摘 | Sargent Thomas J | 1982 | American Economic Review Proceedings1982，1982，72： | 1 |
| 17 | Recursive robust estimation and control without commitment显示文摘 | Lars Peter Hansen Thomas J Sargent | 2007 | Journal of Economic Theory2007，136，1： | 1 |
| 18 | Expectations and the nonneutrality ofLucas显示文摘 | THOMAS J SARGENT | 1996 | Journal of Monetary Economics1996，37，6： | 1 |
| 19 | A primer on monetary and fiscal policy显示文摘 | THOMAS J SARGENT | 1999 | Journal of Banking&Finance1999，23，10： | 1 |
| 20 | Comment on Stopping Inflations 显示文摘 | Thomas J Sargent | 1997 | Big and Small Journal of Money Credit and Banking1997，，： | 1 |
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