Reviewer's report
Title:Primary Placement Technique of Jejunostomy Using the Entristar
Skin-Level Gastrostomy Tube in Patients with Esophageal Cancer.
Version: 3Date:27 September 2010
Reviewer: Charles Y Kim
Reviewer's report:
In this manuscript, the authors report their experience with inserting a skin-level
jejunostomy tube in 16 patients. Their main goal is to described their success
rate and complication rate. I believe that the primary factor making this report
unique, is that they are inserting the skin-level J-tube primarily, instead of as a
staged procedure. (This should be emphasized by the authors). The insertion of
skin-level gastrostomy and jejunostomy tubes has been in use for several
decades, and has been described in much larger patient populations. The
authors found a high success rate and low complication rate, with a median
follow up of 3.5 months. I feel that their conclusion is a bit overstated. It is difficult
to make such a strong statement after only 16 patients, and with relatively short
followup. Overall, this early experience with primary insertion of a skin-level
jejunostomy tube is helpful to readers, to encourage further exploration of this
technique.
Major compulsory revisions:
1. For two patients, the disposition of the tube is missing from the Table and in
the text. If this is because the patient was lost to follow up, this should be clarified
in the manuscript.
2. The last sentence of the M&M is unclear. If there is published data, it should
be referenced.
Minor essential revisions:
3. The grammar throughout the majority of the manuscript is in need of
correction. Several typographical mistakes are also present.
4. The use of the term G-tube and J-tube in the manuscript are confusing. It is
difficult to convey the fact that a G-tube is being used as a J-tube, but since it is
being functionally used as a J-tube, it should be referred to as a jejunostomy
tube. (except in the materials and methods section ,where its nature as a G-tube
should be mentioned.)
5. Reword the conclusion as above.
Discretionary revisions:
6. Emphasize that the unique aspect of this manuscript is the fact that the
skin-level jejunostomy tube is being inserted primarily (instead of staged).
Level of interest: An article whose findings are important to those with closely
related research interests
Quality of written English: Not suitable for publication unless extensively edited
Statistical review: No, the manuscript does not need to be seen by a
statistician.
Declaration of competing interests:
I declare that I have no competing interests
Reviewer's report
Title:Primary Placement Technique of Jejunostomy Using the Entristar
Skin-Level Gastrostomy Tube in Patients with Esophageal Cancer.
Version: 3Date:27 September 2010
Reviewer: Charles Y Kim
Reviewer's report:
In this manuscript, the authors report their experience with inserting a skin-level
jejunostomy tube in 16 patients. Their main goal is to described their success
rate and complication rate. I believe that the primary factor making this report
unique, is that they are inserting the skin-level J-tube primarily, instead of as a
staged procedure. (This should be emphasized by the authors). The insertion of
skin-level gastrostomy and jejunostomy tubes has been in use for several
decades, and has been described in much larger patient populations. The
authors found a high success rate and low complication rate, with a median
follow up of 3.5 months. I feel that their conclusion is a bit overstated. It is difficult
to make such a strong statement after only 16 patients, and with relatively short
followup. Overall, this early experience with primary insertion of a skin-level
jejunostomy tube is helpful to readers, to encourage further exploration of this
technique.
Major compulsory revisions:
1. For two patients, the disposition of the tube is missing from the Table and in
the text. If this is because the patient was lost to follow up, this should be clarified
in the manuscript.
2. The last sentence of the M&M is unclear. If there is published data, it should
be referenced.
Minor essential revisions:
3. The grammar throughout the majority of the manuscript is in need of
correction. Several typographical mistakes are also present.
4. The use of the term G-tube and J-tube in the manuscript are confusing. It is
difficult to convey the fact that a G-tube is being used as a J-tube, but since it is
being functionally used as a J-tube, it should be referred to as a jejunostomy
tube. (except in the materials and methods section ,where its nature as a G-tube
should be mentioned.)
5. Reword the conclusion as above.
Discretionary revisions:
6. Emphasize that the unique aspect of this manuscript is the fact that the
skin-level jejunostomy tube is being inserted primarily (instead of staged).
Level of interest: An article whose findings are important to those with closely
related research interests
Quality of written English: Not suitable for publication unless extensively edited
Statistical review: No, the manuscript does not need to be seen by a
statistician.
Declaration of competing interests:
I declare that I have no competing interests
Please review this paper.
user
Reviewer's report
Title:Primary Placement Technique of Jejunostomy Using the Entristar
Skin-Level Gastrostomy Tube in Patients with Esophageal Cancer.
Version: 3Date:27 September 2010
Reviewer: Charles Y Kim
Reviewer's report:
In this manuscript, the authors report their experience with inserting a skin-level
jejunostomy tube in 16 patients. Their main goal is to described their success
rate and complication rate. I believe that the primary factor making this report
unique, is that they are inserting the skin-level J-tube primarily, instead of as a
staged procedure. (This should be emphasized by the authors). The insertion of
skin-level gastrostomy and jejunostomy tubes has been in use for several
decades, and has been described in much larger patient populations. The
authors found a high success rate and low complication rate, with a median
follow up of 3.5 months. I feel that their conclusion is a bit overstated. It is difficult
to make such a strong statement after only 16 patients, and with relatively short
followup. Overall, this early experience with primary insertion of a skin-level
jejunostomy tube is helpful to readers, to encourage further exploration of this
technique.
Major compulsory revisions:
1. For two patients, the disposition of the tube is missing from the Table and in
the text. If this is because the patient was lost to follow up, this should be clarified
in the manuscript.
2. The last sentence of the M&M is unclear. If there is published data, it should
be referenced.
Minor essential revisions:
3. The grammar throughout the majority of the manuscript is in need of
correction. Several typographical mistakes are also present.
4. The use of the term G-tube and J-tube in the manuscript are confusing. It is
difficult to convey the fact that a G-tube is being used as a J-tube, but since it is
being functionally used as a J-tube, it should be referred to as a jejunostomy
tube. (except in the materials and methods section ,where its nature as a G-tube
should be mentioned.)
5. Reword the conclusion as above.
Discretionary revisions:
6. Emphasize that the unique aspect of this manuscript is the fact that the
skin-level jejunostomy tube is being inserted primarily (instead of staged).
Level of interest: An article whose findings are important to those with closely
related research interests
Quality of written English: Not suitable for publication unless extensively edited
Statistical review: No, the manuscript does not need to be seen by a
statistician.
Declaration of competing interests:
I declare that I have no competing interests
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