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Jejunostomy enteral feeding in children: outcome and safety

Christina Egnell1, Staffan Eksborg1, Lena Grahnquist2

  • 1Pediatric Gastroenterology, Hepatology and Nutrition, Astrid Lindgren Children's Hospital, Karolinska University Hospital, Stockholm, Sweden Department of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden.

JPEN. Journal of Parenteral and Enteral Nutrition
|June 1, 2013
PubMed

Insights

Surgically placed jejunostomy tubes effectively treat pediatric GERD, feeding difficulties, and pneumonia. While safe for many, neurological impairment impacts long-term feeding tube success.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Clinical Nutrition

Background:

  • Jejunostomy tube feeding has been utilized for over 14 years in a clinical setting.
  • Clinical outcomes and safety data for this intervention are reported.

Purpose of the Study:

  • To evaluate the clinical outcome and safety of jejunostomy tube feeding in children.
  • To assess the effectiveness of jejunostomy tubes in managing specific pediatric feeding and respiratory conditions.

Main Methods:

  • A retrospective study included children who underwent surgical catheter jejunostomy placement between July 1996 and March 2010.
  • Data collection focused on patient outcomes and complications associated with jejunostomy tubes.

Main Results:

  • Thirty-three children were included, with a median follow-up of 2.34 years.
  • Jejunostomy tubes addressed indications such as GERD, failure to thrive, and recurrent pneumonia, showing reduced occurrences.
  • Weaning from the tube was more successful in children without neurological impairment (12/16) compared to those with impairment (2/17).
  • Eight children experienced major complications requiring reoperation; no mortality was directly linked to the jejunostomy catheter.

Conclusions:

  • Surgically placed jejunostomy tubes are effective and safe for selected pediatric cases.
  • This method can successfully manage GERD, feeding difficulties, and recurrent pneumonia, potentially avoiding more extensive surgery.
Abstract

Keywords:
childrengastroesophageal reflux diseasejejunostomynutrition

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