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Related Experiment Videos

Feeding jejunostomy: a small bowel stress test?

P Smith-Choban1, M H Max

  • 1Department of Surgery, Eastern Virginia Medical School, Norfolk.

American Journal of Surgery
|January 1, 1988
PubMed
Summary

Feeding jejunostomy tube complications are common, with over half of patients experiencing issues. Small bowel necrosis and abdominal distention indicate serious risks associated with decreased mesenteric blood flow.

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Area of Science:

  • Gastroenterology
  • Surgical Complications
  • Patient Safety

Background:

  • Feeding jejunostomies are frequently used for nutritional support.
  • Catheter-related complications can significantly impact patient outcomes.

Purpose of the Study:

  • To review the incidence and nature of complications associated with feeding jejunostomies.
  • To identify risk factors for severe complications such as small bowel necrosis and feeding intolerance.

Main Methods:

  • Retrospective review of 143 patients undergoing 144 feeding jejunostomies.
  • Analysis of catheter-related complications, including life-threatening events.
  • Comparison of risk factors for mesenteric blood flow in patients with and without complications.

Main Results:

  • 55% of patients (71/129) experienced catheter-related complications.
  • 10 complications were life-threatening or fatal, including 5 cases of small bowel necrosis.
  • Abdominal distention and small bowel necrosis were associated with increased risk factors for decreased mesenteric blood flow.

Conclusions:

  • Tube feeding intolerance, indicated by abdominal distention, is a significant finding.
  • Documented or suspected low mesenteric blood flow necessitates discontinuation of tube feedings.
  • Discontinuation of tube feedings should be permanent unless a reversible cause for distention is identified.

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