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Jejunostomy. A rarely indicated procedure.

M B Adams, G R Seabrook, E A Quebbeman

    Archives of Surgery (Chicago, Ill. : 1960)
    |February 1, 1986
    PubMed
    Summary
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    Jejunostomy, a feeding tube procedure, carries significant risks of complications and death. It should be reserved for patients with clear indications and potential for long-term use.

    Area of Science:

    • Gastroenterology
    • Surgical Procedures
    • Patient Outcomes

    Background:

    • Jejunostomy provides an alternative feeding route for patients unable to eat orally.
    • Indications for jejunostomy include gastrointestinal issues, cancer, and neurological disorders.

    Purpose of the Study:

    • To evaluate the safety and efficacy of jejunostomy procedures.
    • To assess complication rates and mortality associated with jejunostomy.

    Main Methods:

    • Retrospective study of 73 patients undergoing jejunostomy at Medical College of Wisconsin Hospitals.
    • Analysis of patient survival, complications, and feeding utilization based on surgical technique (Stamm, Witzel, Maydl).

    Main Results:

    • 44 out of 73 patients survived and were discharged.

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  • 34 patients experienced 53 complications, with 7 deaths directly linked to jejunostomy.
  • Only 18 patients were discharged on maintenance enterostomy feedings.

    • Conclusions:

    • Jejunostomy is associated with substantial risks, including mortality and complications.
    • The procedure is not benign and requires careful patient selection.
    • Jejunostomy for alimentation should be reserved for patients with clear indications and long-term feeding potential.