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Updated: Aug 20, 2025
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Colonial Wig Pancreaticojejunostomy
Published on: March 12, 2019
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Percutaneous trans-stomal jejunostomy: a new technique.
Carmelo Mazzeo1, Francesco Fleres2, Santino Antonio Biondo1
1Department of Human Pathology of the Adult and Evolutive Age "Gaetano Barresi", Section of General Surgery Unit, University of Messina, Via Consolare Valeria, 98125, Messina, Italy.
Updates in Surgery
|November 23, 2022
Summary
This study introduces a minimally invasive technique for jejunostomy feeding in malnourished patients. The new method ensures continuous 24-hour nutrition and improves patient outcomes with easy stoma management.
Area of Science:
- Gastroenterology
- Surgical Techniques
- Nutritional Support
Background:
- Malnourished patients often require specialized feeding methods.
- High double-barrel jejunostomy presents unique challenges for nutritional management.
- Maintaining adequate nutrition is crucial for patient recovery and well-being.
Purpose of the Study:
- To present a novel technique for enteral feeding in patients with high double-barrel jejunostomy.
- To achieve adequate nutritional status while minimizing complications.
- To facilitate continuous 24-hour feeding without disrupting nursing care.
Main Methods:
- A minimally invasive procedure using local anesthesia and a Reverdin needle.
- Insertion of a blunt-tipped enteral feeding tube through the efferent jejunostomy loop.
- Tube placement guided to extend approximately 40 cm distally into the bowel.
Main Results:
- Significant reduction in stoma output from 3 L/day to 1.5 L/day.
- Restoration of normal kidney function.
- Successful implementation of continuous 24-hour enteral nutrition.
Conclusions:
- The described technique is minimally invasive and easily managed by nurses.
- It allows for continuous nutritional support, improving patient recovery.
- This method offers a safe and effective solution for feeding malnourished patients with jejunostomies.
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