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Roux-en-Y jejunostomy button in infants
J C Langer1, M V Mazziotti, A L Winthrop
1Division of Pediatric Surgery, Department of Surgery, Washington University School of Medicine, St. Louis, Missouri, USA.
Insights
Establishing enteral feeding for high-risk infants with severe gastroesophageal reflux can be challenging. This study presents a less invasive surgical approach for jejunal feeding, offering a safe and reliable option for complex cases.
Area of Science:
- Pediatric surgery
- Gastroenterology
- Neonatal care
Background:
- Enteral feeding is crucial for high-risk infants.
- Significant gastroesophageal reflux complicates feeding in these infants.
- Traditional surgical options like fundoplication and gastrostomy carry high risks for some infants due to medical instability, adhesions, or anatomy.
Purpose of the Study:
- To describe a less invasive surgical technique for jejunal feeding in high-risk infants with gastroesophageal reflux.
- To evaluate the safety, reliability, and convenience of this alternative feeding method.
Main Methods:
- A novel, less invasive surgical procedure was developed and implemented.
- The technique focuses on establishing jejunal feeding.
Main Results:
- The described operation provides a safe and reliable method for jejunal feeding.
- This approach offers a convenient alternative for families managing complex infant feeding needs.
Conclusions:
- A less invasive surgical option for jejunal feeding is feasible in high-risk infants with gastroesophageal reflux.
- This technique addresses the challenges posed by unstable medical conditions, adhesions, or unfavorable anatomy, improving patient care.
Abstract:
Establishing enteral feeding in high-risk infants with significant gastroesophageal reflux is a difficult challenge. Some patients are considered at very high risk for fundoplication and gastrostomy due to unstable medical conditions, dense upper-abdominal adhesions due to previous surgical procedures, or unfavorable anatomy. We describe a less invasive operation that provides jejunal feeding in a way that is safe, reliable, and convenient for the family.