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Subcutaneous jejunostomy.

F Bozzetti1, P Bignami, L Cozzaglio

  • 1Istituto Nazionale Tumori, Milan, Italy.

JPEN. Journal of Parenteral and Enteral Nutrition
|May 1, 1992
PubMed
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This study introduces a novel subcutaneous jejunostomy technique for enteral nutrition. This method offers a less invasive option for patients at risk of obstruction or dysphagia, preserving body image.

Area of Science:

  • Surgical Innovation
  • Gastroenterology
  • Oncology Support

Background:

  • Unresectable supramesocolic tumors can cause intestinal obstruction.
  • Intestinal bypass may not be feasible in such cases.
  • Jejunostomy is often indicated for enteral nutrition.

Purpose of the Study:

  • To present a new technique for subcutaneous jejunostomy.
  • To provide enteral nutrition without an external device.
  • To offer a solution for patients at risk of obstruction or dysphagia.

Main Methods:

  • A feeding tube is inserted into the jejunum.
  • The tube is connected to a subcutaneous Port-a-Cath.
  • Nutrition is delivered via a Huber needle or exteriorized tube.

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Main Results:

  • The procedure allows for precautionary jejunostomy.
  • It avoids the need for an external feeding device.
  • It minimizes distortion of the patient's body image.

Conclusions:

  • This subcutaneous jejunostomy is a viable option for enteral feeding.
  • It addresses the need for nutrition in complex surgical cases.
  • The technique improves patient comfort and body image.