[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-462406-105":3,"detail-sidebar-cat-0-en-105":73,"doc-detail-462406-en":122},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":66,"head_meta":68,"extra_data":70,"updated_unix":72},105,"en","nutritional-support-via-jejunostomy-placed-during-staging-laparoscopy-for-esophagogastric-cancer-a-case-series","Nutritional Support via Jejunostomy Placed During Staging Laparoscopy for Esophagogastric Cancer - A Case Series","","Malnutrition is linked to poorer clinical outcomes in esophagogastric cancers, and enteral nutrition through feeding jejunostomy (FJ) is feasible, yet standardized placement criteria during staging laparoscopy (SL) remain unclear. This retrospective case series reviewed EGC patients receiving FJ during SL at Fondazione IRCCS Policlinico S. Matteo (Jan 2022–Dec 2023), excluding missing nutritional data or known metastatic disease. Fourteen patients were included; after diagnosis all reported weight loss and high malnutrition risk. FJ was often left in place unused, with limited weight stability/gain and FJ-related complications in a subset. Findings support standardized selection and routine preoperative nutritional assessment before SL.",{"@graph":14,"@context":65},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/document/","Document",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/document/healthcare/","Healthcare",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/document/nutritional-support-via-jejunostomy-placed-during-staging-laparoscopy-for-esophagogastric-cancer-a-case-series/462406/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/nutritional-support-via-jejunostomy-placed-during-staging-laparoscopy-for-esophagogastric-cancer-a-case-series/462406.png","ImageObject",300,407,{"name":42,"@type":43},"Quinn Holloway","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-11-02","2026-09-30",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",10,{"@type":57,"mainEntity":58},"FAQPage",[59],{"name":60,"@type":61,"acceptedAnswer":62},"What recommendation does the study make regarding future practice?","Question",{"text":63,"@type":64},"Standardized selection criteria are warranted, and routine preoperative nutritional assessments before SL should be implemented to identify high-risk patients and optimize FJ placement.","Answer","https://schema.org",{"og:url":32,"og:type":67,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":69,"canonical":32},"index,follow",{"doc_id":71,"site_id":7},462406,1791099775,{"code":4,"msg":74,"data":75},"success",[76,80,84,88,93,98,102,107,112,115,118],{"id":22,"doc_module":4,"doc_module_name":25,"category_name":77,"show_sort_weight":78,"slug":79},"Story & Novel",90,"story-novel",{"id":26,"doc_module":4,"doc_module_name":25,"category_name":81,"show_sort_weight":82,"slug":83},"Literature",80,"literature",{"id":33,"doc_module":4,"doc_module_name":25,"category_name":85,"show_sort_weight":86,"slug":87},"Exam",70,"exam",{"id":89,"doc_module":4,"doc_module_name":25,"category_name":90,"show_sort_weight":91,"slug":92},5,"Comic",60,"comic",{"id":94,"doc_module":4,"doc_module_name":25,"category_name":95,"show_sort_weight":96,"slug":97},6,"Technology",50,"technology",{"id":99,"doc_module":4,"doc_module_name":25,"category_name":29,"show_sort_weight":100,"slug":101},7,40,"healthcare",{"id":103,"doc_module":4,"doc_module_name":25,"category_name":104,"show_sort_weight":105,"slug":106},8,"Research & Report",30,"research-report",{"id":108,"doc_module":4,"doc_module_name":25,"category_name":109,"show_sort_weight":110,"slug":111},9,"Religion & Spirituality",20,"religion-spirituality",{"id":110,"doc_module":4,"doc_module_name":25,"category_name":113,"show_sort_weight":110,"slug":114},"World Cup","world-cup",{"id":55,"doc_module":4,"doc_module_name":25,"category_name":116,"show_sort_weight":55,"slug":117},"Lifestyle","lifestyle",{"id":119,"doc_module":4,"doc_module_name":25,"category_name":120,"show_sort_weight":89,"slug":121},19,"General","general",{"code":4,"msg":74,"data":123},{"doc_id":71,"user_id":124,"nickname":42,"user_avatar":125,"doc_module":4,"category_id":99,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":126,"file_id":127,"file_url":128,"file_type":129,"file_size":130,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":131,"language":132,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":133,"faqs":134,"seo_title":135,"seo_description":12,"update_tm":136,"read_time":137,"preview_page_count":4},2336474466712,"https://ap-avatar.wpscdn.com/davatar_a8503ba1806abce46bf441b54a3ca4cd","Article  \nNutritional Support via Jejunostomy Placed During Staging Laparoscopy for Esophagogastric Cancer: A Case Series  \nMaria Tieri 1, Claudia Sivieri 2, Jacopo Viganò 3, Salvatore Corallo 4,5, *, Andrea Dagnoni 6, Anna Pagani 4, Elisa Mattavelli 2, Anna Uggè 2, Francesca De Simeis 2, Alice Tartara 2, Paolo Pedrazzoli 4,5,  \nRiccardo Caccialanza 2,7 and Valentina Da Prat 2  \nAcademic Editor: Marcin Jó´zwik  \nReceived: 17 November 2025  \nRevised: 26 December 2025  \nAccepted: 29 December 2025  \nPublished: 30 December 2025  \nCopyright: © 2025 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license.  \n1 Department of Experimental Oncology, IEO, European Institute of Oncology IRCCS, 20141 Milan, Italy; [maria.tieri@ieo.it](maria.tieri@ieo.it)  \n2 Clinical Nutrition and Dietetics Unit, Fondazione IRCCS Policlinico San Matteo, 27100 Pavia, Italy;  \nclaudia.sivieri01@universitadipavia.it (C.S.); [e.mattavelli@smatteo.pv.it](e.mattavelli@smatteo.pv.it) (E.M.); [a.ugge@smatteo.pv.it](a.ugge@smatteo.pv.it) (A.U.);  \n[f.desimeis@smatteo.pv.it](f.desimeis@smatteo.pv.it) (F.D.S.); [a.tartara@smatteo.pv.it](a.tartara@smatteo.pv.it) (A.T.); [r.caccialanza@smatteo.pv.it](r.caccialanza@smatteo.pv.it) (R.C.);  \n[v.daprat@smatteo.pv.it](v.daprat@smatteo.pv.it) (V.D.P.)  \n3 General Surgery 1, Fondazione IRCCS Policlinico San Matteo, 27100 Pavia, Italy; [j.vigano@smatteo.pv.it](j.vigano@smatteo.pv.it)  \n4 Department of Oncology, Comprehensive Cancer Center, Fondazione IRCCS Policlinico San Matteo, 27100 Pavia, Italy; [a.pagani@smatteo.pv.it](a.pagani@smatteo.pv.it) (A.P.); [p.pedrazzoli@smatteo.pv.it](p.pedrazzoli@smatteo.pv.it) (P.P.)  \n5 Department of Clinical, Surgical, Diagnostic & Pediatric Sciences, University of Pavia, 27100 Pavia, Italy  \n6 General Surgery Residency Program, University of Pavia, 27100 Pavia, Italy;  \nandrea.dagnoni01@universitadipavia.it  \n7 Department of Oncology and Hematology-Oncology, University of Milan, 20122 Milan, Italy  \n* Correspondence: [s.corallo@smatteo.pv.it](s.corallo@smatteo.pv.it)  \nAbstract  \nBackground: Malnutrition is associated with poorer clinical outcomes in esophagogastric cancers (EGCs) . Enteral nutrition via feeding jejunostomy (FJ) is feasible and effective, although standardized criteria for its placement during staging laparoscopy (SL) are lacking. Here, we describe a case series with the aim of generate preliminary evidence in highlighting unmet needs in this setting. Methods: We retrospectively reviewed medical records of EGC patients who underwent FJ placement during SL at the Fondazione IRCCS Policlinico S. Matteo from January 2022 to December 2023 . Patients with missing nutritional data or known metastatic disease were excluded. Results: We included 14 Caucasian patients aged 66 years (IQR: 56.3–69.5) with a median Body Mass Index (BMI) of 23.7 kg/m2 (IQR: 21.6–26.3) . The tumor location was the gastroesophageal junction in eight cases (57%), the body of the stomach in four cases (29%), and the esophagus in two cases (14%) . At the time of diagnosis, all patients had experienced weight loss: 13.4% of body weight (IQR: 8.7–16.8) in the last 6 months; with high malnutrition risk scores: NRS-2002 = 3 (IQR: 2–4) and MUST = 2 (IQR: 1–2) . Prior to FJ placement only four (29%) patients had tried oral nutrition supplements (ONS) and nine (64%) had been evaluated by dietitians. Home enteral nutrition (HEN) was started in twelve (86%) cases, with three (21%) providing total enteral nutrition and 9 (64%) as supplemental HEN, providing a median of 45.5% of energy needs (IQR: 32.6–68.2) . Due to sufficient oral intake, HEN was not started in two cases (14%) and was discontinued in the first month in another two cases. In this series, FJ was in place but unused for a median duration of 11 days (IQR: 3–91) . The median duration of HEN was 97 days (IQR: 40–135); with 5 (35","cbCaikCXO0S3vxvU","https://ap.wps.com/l/cbCaikCXO0S3vxvU","pdf",607877,15,"English","# Abstract\n## Background\n## Methods\n## Results\n## Conclusions\n# Introduction","[{\"question\":\"What recommendation does the study make regarding future practice?\",\"answer\":\"Standardized selection criteria are warranted, and routine preoperative nutritional assessments before SL should be implemented to identify high-risk patients and optimize FJ placement.\"}]","Nutritional Support via Jejunostomy Placed During Staging Laparoscopy for Esophagogastric Cancer - A Case Series | PDF",1790764010,38]