Feeding jejunostomy has become a useful method of feeding many patients with upper digestive tract dysfunction from a variety of causes. Although problems infrequently do occur with the tube itself, such as dislodgement or obstruction, most patients tolerate the procedure well. We report here a case of perforation of the jejunum that was caused by the tube itself and required reoperation. As with many problems in surgery, careful attention to technical details should help prevent this and other problems after feeding tube insertion. (Journal of Parenteral and Enteral Nutrition11 :202-204, 1987)
Get full access to this article
View all access options for this article.
References
1.
Anderson MDNoble K., Crots L.: Simultaneous enteral support into the stomach and small bowel: The gastric service tube. Nutr Support Serv3:58, 1983
2.
Sriram K.Gray D.: Home enteral hyperalimentation catheter: Surgical technique and problem solving . Nutr Support Serv4:32, 1984
3.
Chrysomilides S., Kaminski M.: Home enteral and parenteral nutrition: A comparison. Am J Nutr34:2271, 1981
4.
Rosenak S., Hollander F.: Surgical jejunostomy for alimentation. Clinics3:638-662, 1944
5.
Delaney HM, Carneyvale N., Garvey JW: Jejunostomy by a needle catheter technique. Surgery73:786, 1973
6.
Page CP, Carlton PK, Andrassy RJ, et al: Safe, cost-effective postoperative nutrition. Am J Surg138:939, 1979
7.
Valdoni P.: Abdominal Surgery: An Atlas of Operative Techniques. WB Sanders Co., Philadelphia, pp 156-170, 1976
8.
Hinsdale JG, Lipkowitz GS, Pollock TW, et al: Prolonged enteral nutrition in malnourished patients with nonelemental feeding. Am J Surg149:334, 1985
9.
Delaney HN, Carnevale N., Garvey JW, et al: Postoperative nutritional support using needle catheter jejunostomy . Ann Surg186:165, 1977
10.
Matino J.: Feeding jejunostomy in patients with neurologic disorders. Arch Surg116:169, 1981
