What is the primary feeding option recommended post-oesophagectomy?

Post-oesophagectomy, the primary feeding option recommended is feeding jejunostomy. This approach allows for the provision of nutrition directly into the jejunum, bypassing the stomach, which is especially beneficial after the surgical removal of the oesophagus. Following oesophagectomy, patients may experience complications such as delayed gastric emptying or reflux, making it more challenging to manage oral feeding effectively and safely. By using jejunostomy, there is reduced risk of aspiration and improved tolerance to enteral feeding since the jejunum can accommodate feeding without the complications often encountered when the stomach is involved.

In contrast, orogastric tube feeding may not be suitable due to potential complications related to the surgical site and increased risk of aspiration. Parenteral nutrition, while it can be utilized, is generally considered a temporary solution due to risks of infection and metabolic complications associated with long-term intravenous feeding. Gastrostomy feeding can be an option but is primarily indicated when long-term feeding support is anticipated, allowing oral feeding to resume or in cases where a jejunostomy is not feasible. Thus, jejunostomy is favored for its direct method of providing nutritional support in patients recovering from oesophageal surgery.