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Related Experiment Video

Updated: Jul 15, 2026

Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults

Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults

Published on: February 28, 2025

Roux-en-Y feeding jejunostomy in infants and children.

A R Williams¹, A Borsellino, I D Sugarman

¹Department of Paediatric Surgery, Nottingham City Hospital, Nottingham, UK.

European Journal of Pediatric Surgery : Official Journal of Austrian Association of Pediatric Surgery ... [Et Al] = Zeitschrift Fur Kinderchirurgie

|April 5, 2007

Summary

Roux-en-Y jejunostomy (RYJ) is a safe procedure for pediatric enteral feeding, avoiding complications of other tubes. While RYJ has late complications, it

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Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults

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Area of Science:

Pediatric Surgery
Gastroenterology
Nutritional Support

Background:

Roux-en-Y jejunostomy (RYJ) facilitates enteral feeding for children intolerant to oral or intragastric methods.
RYJ offers an alternative to nasojejunal and gastrojejunal tubes, potentially reducing associated complications.

Purpose of the Study:

To evaluate the safety and efficacy of intubated Roux-en-Y jejunostomy (RYJ) in pediatric patients.
To analyze the outcomes and complications associated with RYJ in a cohort of children.

Main Methods:

Retrospective review of patient records from 1998 to 2003.
Inclusion of thirty-five pediatric patients who underwent intubated RYJ.
Analysis of patient demographics, follow-up duration, and complication rates.

Main Results:

No early postoperative complications or deaths were observed.
Late complications occurred in 51% of patients, including peristomal issues, bilious vomiting, and tube displacement.
Five children achieved full oral feeds and RYJ resection; 14 remained on RYJ feeding, and 9 underwent combined procedures.

Conclusions:

Roux-en-Y jejunostomy (RYJ) is a straightforward and safe procedure for medium-term enteral feeding in children, even with comorbidities.
RYJ can be performed safely in nutritionally compromised children.
RYJ is recommended as a viable medium-term enteral feeding option for pediatric patients.