Laparoscopic feeding jejunostomy (LFJ) offers a safer, less painful alternative to open feeding jejunostomy (OFJ) for patients with upper GI cancers.

• Major complications were similar (LFJ 10% vs. OFJ 17%, p = 0.472).
• LFJ had significantly fewer minor complications (26.6% vs. 89.6%, p < 0.001) and reduced post-operative pain.
• Patients with LFJ started feeds earlier and had shorter hospital stays.

Consider LFJ for suitable candidates to improve recovery times despite a longer surgery duration.