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Updates in Surgery

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24-11-2022 | Enterostomy | Technical Note

Percutaneous trans-stomal jejunostomy: a new technique

Authors: Carmelo Mazzeo, PhD, Francesco Fleres, Santino Antonio Biondo, Eugenio Cucinotta

Published in: Updates in Surgery | Issue 1/2023

Abstract

Aim

We propose a new technique for feeding a malnourished patient with a “high” double-barrel jejunostomy (at about 60 cm from the Treitz Ligament). The procedure aims to restore an adequate nutritional state maintaining a correct diet for 24 h a day, without complications and without interfering with the normal activity of the nurses caring for the stoma.

Method

Using local anesthesia, we introduced a Reverdin needle through the efferent loop of jejunostomy and externalized it through the skin, medially from jejunostomy of about 10 cm. Using this guide, we inserted an enteral feeding tube with a blunt tip and then introduced it through the efferent loop to reach about 40 cm distantly into the bowel.

Results

The stoma output decreased from 3 to 1.5 L/day; kidney status was restored to normal function.

Conclusion

The main advantages are the minimal invasiveness of the implantation procedure, the possibility of nutrition during all 24 h, and the easy management by nurses.

Available only for authorised users

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Title: Percutaneous trans-stomal jejunostomy: a new technique
Authors: Carmelo Mazzeo, PhD
Francesco Fleres
Santino Antonio Biondo
Eugenio Cucinotta
Publication date: 24-11-2022
Publisher: Springer International Publishing
Keywords: Enterostomy
Nutrition
Local Anesthesia in Dentistry
Enterostomy
Jejunostomy
Published in: Updates in Surgery / Issue 1/2023
Print ISSN: 2038-131X
Electronic ISSN: 2038-3312
DOI: https://doi.org/10.1007/s13304-022-01431-1

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Percutaneous trans-stomal jejunostomy: a new technique

Abstract

Aim

Method

Results

Conclusion

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Aim

Method

Results

Conclusion

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