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Witzel catheter feeding jejunostomy: is it safe?
Donatas Venskutonis1, Saulius Bradulskis, Kestutis Adamonis
1Clinic of General Surgery, Kaunas University of Medicine, Kaunas, Lithuania. donas@medi.lt
Digestive Surgery
|September 6, 2007
Summary
Early jejunostomy feeding after digestive tract surgery aids recovery. Longitudinal Witzel catheter jejunostomy is safe, with low complication rates, enabling feeding initiation on the day of surgery.
Area of Science:
- Gastroenterology
- Surgical Nutrition
- Postoperative Care
Background:
- Malnutrition is common after digestive tract surgery, prolonging recovery and increasing complications.
- Early postoperative jejunostomy feeding is a strategy to mitigate these issues.
- Concerns exist regarding the safety and complications of jejunostomy catheter feeding.
Purpose of the Study:
- To evaluate the complication rate of longitudinal Witzel catheter jejunostomy.
- To assess complications associated with initiating enteral feeding post-surgery.
Main Methods:
- Retrospective analysis of 136 patients undergoing upper digestive tract surgery (1992-2004).
- Patients received catheter jejunostomy feeding.
- Telephone interviews assessed jejunostomy-related complications within the first postoperative year.
Main Results:
- Low incidence of feeding jejunostomy-related complications (1.5%, 2 cases).
- Higher complication rate (26.7%, 12 cases) associated with the initiation of enteral feeding.
- No mortality observed; no catheter jejunostomy complications during the first postoperative year.
Conclusions:
- Longitudinal Witzel catheter jejunostomy is a beneficial and safe method for nutritional support after upper digestive tract surgery.
- This feeding method can be safely initiated on the day of operation.
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