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Surgical Endoscopy
Published in: Surgical Endoscopy 7/2005

01-07-2005 | Original article

Laparoscopic feeding jejunostomy: A systematic review

Authors: I. J. M. Han-Geurts, A. Lim, T. Stijnen, H. J. Bonjer

Published in: Surgical Endoscopy | Issue 7/2005

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Abstract

Background

Enteral feeding devices have gained popularity since the beneficial effects of enteral nutrition have been clarified. Laparoscopic placement of a feeding jejunostomy is the most recently described enteric access route. In order to classify current surgical techniques and assess evidence on safety of laparoscopic feeding jejunostomy, a systematic review was performed.

Methods

The electronic databases Medline, Cochrane, and Embase were searched. Reference lists were checked and requests for additional or unpublished data were sent to authors. Outcome measures were surgical technique and catheter-related complications.

Results

Enteral access for feeding purposes can be effectively achieved by laparoscopic jejunostomy. Laparoscopic jejunostomy can be accomplished by either total laparoscopic or laparoscopic-aided techniques. The most experience was obtained with total laparoscopic placement. Which technique to apply should depend on the surgeon’s expertise. Conversion rate is similar to other laparoscopic procedures. Complications can be serious and therefore strict patient selection should be warranted.

Conclusion

Laparoscopic feeding jejunostomy is a viable method to obtain enteral access with the advantages of minimally invasive surgery.
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Metadata
Title
Laparoscopic feeding jejunostomy: A systematic review
Authors
I. J. M. Han-Geurts
A. Lim
T. Stijnen
H. J. Bonjer
Publication date
01-07-2005
Publisher
Springer-Verlag
Published in
Surgical Endoscopy / Issue 7/2005
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-003-2187-7

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