Feeding jejunostomy (FJT) after pancreatoduodenectomy increases complications and length of stay.

• Delayed gastric emptying occurred in 55% of FJT patients vs. 25% in nasojejunal tube (NJT) patients (p = 0.006).
• FJT led to a longer hospital stay: 11 days compared to 9 days for NJT (p = 0.007).

Omit FJT to reduce postoperative complications without sacrificing nutrition.

• FJT increased prokinetic drug use: 77.5% vs. 45% for NJT (p = 0.003).