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Intussusception around jejunal feeding tubes in pediatric patients: a retrospective two-center experience and

Nariman Mokhaberi1,2, Omid Madadi-Sanjani3, Lina Armbrust3,4

  • 1Department of Pediatric Surgery, University Medical Center Hamburg-Eppendorf, Hamburg, Germany. nariman.mokhaberi@uke.de.

Pediatric Surgery International
|October 2, 2025
PubMed

Insights

Intussusception around jejunal feeding tubes (JFTs) is a rare pediatric complication. Most cases resolve non-surgically, but it requires prompt diagnosis and management to prevent bowel issues.

Area of Science:

  • Pediatric Gastroenterology
  • Surgical Pediatrics

Background:

  • Jejunal feeding tubes (JFTs) are common in pediatric care.
  • A rare but serious complication is intussusception around the JFT, potentially causing bowel obstruction or ischemia.

Purpose of the Study:

  • To evaluate risk factors for JFT-associated intussusception.
  • To identify effective management strategies for this complication.

Main Methods:

  • Retrospective review of pediatric patients undergoing JFT placement or revision at two centers (2014-2025).
  • Analysis of patient demographics, procedural data, and outcomes related to intussusception.

Main Results:

  • Seven out of 58 children (12%) experienced 8 episodes of intussusception, with a median onset 1.16 years post-placement.
  • Most episodes (5/8) resolved spontaneously; others were managed with hydrostatic reduction (2/8) or surgery (1/8).
  • Neurological impairment was noted in 62% of patients; risk was highest 1-2 years post-placement, irrespective of placement technique.

Conclusions:

  • Intussusception around JFTs is rare but clinically significant, presenting with abdominal pain, bilious vomiting, or feeding intolerance.
  • Non-surgical management, including observation or hydrostatic reduction, is often successful.
  • An algorithm prioritizing ultrasound diagnosis and conservative treatment, reserving surgery for ischemia or treatment failure, is recommended.
Abstract

Keywords:
ComplicationFeeding tubeIntussusceptionJejunal feeding

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