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Peri-operative jejunostomy-tube feeding in reconstructive spinal surgery
J S Jaivin1, J V Banta, A Milanese
1Department of Orthopaedics, University of Connecticut School of Medicine, Farmington 06032.
Developmental Medicine and Child Neurology
|March 1, 1991
Summary
Jejunostomy feeding tubes safely corrected malnutrition in children with spinal deformities, enabling successful surgery. This method proved effective for weight gain when oral supplements failed.
Area of Science:
- Pediatric Surgery
- Nutritional Support
- Spinal Deformity Correction
Background:
- Malnutrition is a significant challenge in children with neuromuscular spinal deformities.
- Gastro-esophageal reflux often complicates nutritional management in these patients.
- Previous oral supplementation failed to achieve adequate weight gain in the study cohort.
Purpose of the Study:
- To evaluate the efficacy and safety of jejunostomy tubes for nutritional rehabilitation in pediatric patients with spinal deformities.
- To determine if jejunostomy feeding can facilitate successful reconstructive surgery.
- To assess the long-term weight maintenance post-intervention.
Main Methods:
- Eight malnourished children with neuromuscular spinal deformity were enrolled.
- Jejunostomy tubes were placed for supplemental enteral feeding.
- Nutritional status and surgical outcomes were monitored.
Main Results:
- All patients achieved appropriate weight gain using jejunostomy feeding.
- No complications were reported related to jejunostomy tube placement or use.
- Successful spinal fusion was achieved in all patients, with sustained weight post-surgery.
Conclusions:
- Jejunostomy feeding is a safe and effective method for correcting malnutrition in children with spinal deformities.
- This approach is particularly valuable when gastrostomy or Nissen fundoplication is contraindicated.
- Jejunostomy feeding facilitates successful surgical correction and long-term nutritional health.