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A Knotty Problem With a Feeding Jejunostomy Tube

A Knotty Problem With a Feeding Jejunostomy Tube Abstract To the Editor.—Jejunostomy feeding tubes have provided the surgeon with an excellent method for providing nutritional support.1,2 Their use has helped decrease the morbidity and mortality in mentally obtunded patients, patients with trauma, and patients undergoing serious gastrointestinal procedures. For years jejunostomy feeding tubes have given the surgeon a route for providing more physiologic alimentation through the gastrointestinal tract. The complication rate of placing such a catheter into the upper jejunum is barely above that of the general anesthetic. With the introduction of the needle jejunostomy feeding tube, the procedure can even be done with the patient under local anesthesia and with less operating time.3 There are several complications associated with a tube jejunostomy. These include breakage around the entrance site of the catheter into the jejunum, slippage of the catheter both distally and proximally that leads to loss of the catheter either into the lumen or References 1. Hoover HC, Ryan JA: Nutritional benefits of immediate postoperative jejunal feeding of an elemental diet . Am J Surg 1980;139:153.Crossref 2. Page CP, Ryan GA: Continual catheter administration of an elemental diet . Surg Gynecol Obstet 1976;142:184. 3. Delany HM: Jejunostomy by needle catheter technique . Surgery 1973;73:786. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

A Knotty Problem With a Feeding Jejunostomy Tube

Archives of Surgery , Volume 121 (6) – Jun 1, 1986

A Knotty Problem With a Feeding Jejunostomy Tube

Abstract

Abstract To the Editor.—Jejunostomy feeding tubes have provided the surgeon with an excellent method for providing nutritional support.1,2 Their use has helped decrease the morbidity and mortality in mentally obtunded patients, patients with trauma, and patients undergoing serious gastrointestinal procedures. For years jejunostomy feeding tubes have given the surgeon a route for providing more physiologic alimentation through the gastrointestinal tract. The complication rate of placing...
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Publisher
American Medical Association
Copyright
Copyright © 1986 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1986.01400060134024
Publisher site
See Article on Publisher Site

Abstract

Abstract To the Editor.—Jejunostomy feeding tubes have provided the surgeon with an excellent method for providing nutritional support.1,2 Their use has helped decrease the morbidity and mortality in mentally obtunded patients, patients with trauma, and patients undergoing serious gastrointestinal procedures. For years jejunostomy feeding tubes have given the surgeon a route for providing more physiologic alimentation through the gastrointestinal tract. The complication rate of placing such a catheter into the upper jejunum is barely above that of the general anesthetic. With the introduction of the needle jejunostomy feeding tube, the procedure can even be done with the patient under local anesthesia and with less operating time.3 There are several complications associated with a tube jejunostomy. These include breakage around the entrance site of the catheter into the jejunum, slippage of the catheter both distally and proximally that leads to loss of the catheter either into the lumen or References 1. Hoover HC, Ryan JA: Nutritional benefits of immediate postoperative jejunal feeding of an elemental diet . Am J Surg 1980;139:153.Crossref 2. Page CP, Ryan GA: Continual catheter administration of an elemental diet . Surg Gynecol Obstet 1976;142:184. 3. Delany HM: Jejunostomy by needle catheter technique . Surgery 1973;73:786.

Journal

Archives of SurgeryAmerican Medical Association

Published: Jun 1, 1986

References