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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
PubMed

Insights

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

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.

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