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J. Patrick O’Leary, MD

Arch Surg. 2004;139:1313.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Invited critiques are often used to point out failings in a particular article, oversights or flaws in the study design, or simple differences of opinion. Rarely are they chosen because of concordance of opinion. This study is a multicenter prospective randomized trial from the Italian Total Gastrectomy Study Group members. The information presented attempts to answer the specific question of whether an NJT (remember that the stomach has been removed) had an effect on the incidence of esophagojejunal leak. The answer presented is that NJT placement does not protect the anastomosis or the closure of the jejunum from leak, as the leak rate was the same in both groups. This fits with my bias and, therefore, is readily accepted.

There are, however, a couple of concerns. In the article, the authors do not tell us if the NJT was placed to suction or where in the . . . [Full Text of this Article]

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Nasojejunal Tube Placement After Total Gastrectomy: A Multicenter Prospective Randomized Trial
Giovanni Battista Doglietto, Valerio Papa, Antonio Pio Tortorelli, Maurizio Bossola, Marcello Covino, Fabio Pacelli, and for the Italian Total Gastrectomy Study Group
Arch Surg. 2004;139(12):1309-1313.
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