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[Jejunostomy for enteral feeding in surgery. Technical contribution and experience]
L Gramática1, A Mercado Luna, D Bono
1Cátedra de Cirugía Prof. Dr. Pablo L. Mirizzi Hospital Nacional de Clínicas Facultad de Ciencias Médicas, U.N.C.
Revista De La Facultad De Ciencias Medicas (Cordoba, Argentina)
|August 26, 2003
Summary
Enteral nutrition via yeyunostomy is a safe and effective method for patients undergoing major digestive tract surgery. This technique offers physiological benefits, easy handling, and low costs, minimizing complications.
Area of Science:
- Surgical techniques
- Gastroenterology
- Nutritional support
Context:
- Maintaining nutritional integrity is crucial for patients undergoing major superior digestive tract surgery.
- Enteral nutrition via yeyunostomy is preferred over parenteral nutrition due to its physiological advantages.
Purpose:
- To evaluate the safety and efficacy of yeyunostomy for enteral feeding in patients with various upper gastrointestinal conditions.
- To introduce a technical modification for improved catheter fixation and reduced jejunal stenosis.
Summary:
- 171 yeyunostomies were performed using the Witzell technique for conditions including malignant neoplasms, infected pancreatic necrosis, and reflux-induced stenosis.
- A novel technique involving proximal serous sectioning was employed to secure the catheter and prevent stenosis.
- No mortality was associated with the procedure; minor complications like abdominal distension and diarrhea were manageable.
Impact:
- Yeyunostomy provides a secure and cost-effective feeding route with minimal inherent complications.
- The described technical detail enhances the safety and manageability of enteral feeding.
- This method supports nutritional needs for up to two months, including home-based care.