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Related Experiment Videos

Jejunostomy button as a new method for long term jejunostomy feedings.

T A Stellato1, M W Gauderer

  • 1Department of Surgery, University Hospitals of Cleveland, Case Western Reserve University School of Medicine.

Surgery, Gynecology & Obstetrics
|June 1, 1989
PubMed
Summary

Button jejunostomy offers a reliable method for long-term jejunal feeding, combining gastrostomy button advantages. This procedure is suitable for patients needing prolonged enteral nutrition and managing significant gastroesophageal reflux.

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Area of Science:

  • Surgical innovation
  • Gastroenterology
  • Pediatric surgery

Background:

  • Long-term enteral nutrition is crucial for patients with specific medical conditions.
  • Gastroesophageal reflux can complicate feeding regimens.
  • Existing jejunostomy methods may have limitations.

Purpose of the Study:

  • To evaluate the button jejunostomy as a method for long-term jejunal feeding.
  • To assess the benefits of button jejunostomy in patients with gastroesophageal reflux.
  • To compare button jejunostomy with alternative jejunostomy techniques.

Main Methods:

  • Description of the button jejunostomy procedure, including the requirement for celiotomy.
  • Incorporation of gastrostomy button device principles.

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  • Application in patients with clinically significant gastroesophageal reflux requiring long-term enteral nutrition.

    • Main Results:

    • The button jejunostomy provides durable, long-term access for jejunal feedings.
    • The procedure integrates the advantages of the gastrostomy button.
    • It is a relatively simple technique compared to other jejunostomies.

    Conclusions:

    • Button jejunostomy is a viable and advantageous option for long-term jejunal feeding.
    • It is particularly beneficial for patients with significant gastroesophageal reflux.
    • The procedure's simplicity and benefits support its use in select patient populations.