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Related Experiment Videos

New jejunostomy feed.

J T Hindmarsh, R G Clark

    British Medical Journal
    |September 22, 1973
    PubMed
    Summary
    This summary is machine-generated.

    This study shows that a simple jejunostomy feed effectively nourished patients with duodenal fistulae, leading to positive nutrient balances and weight gain without complications. This nutritional support proved life-saving when other feeding methods were not viable.

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    Area of Science:

    • Clinical Nutrition
    • Gastroenterology
    • Surgical Patient Care

    Background:

    • Duodenal fistulae present significant nutritional challenges.
    • Limited feeding options exist for patients with thrombosed superficial veins or contraindications to central venous access.
    • Effective enteral nutrition is crucial for patient recovery.

    Purpose of the Study:

    • To evaluate the efficacy and safety of an inexpensive, easily prepared jejunostomy feed in patients with duodenal fistulae.
    • To assess the nutritional status and clinical outcomes in patients receiving this specialized feed.
    • To determine the viability of jejunostomy feeding as a life-saving intervention.

    Main Methods:

    • A case series involving three patients with duodenal fistulae.

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  • Exclusive jejunostomy feeding using a specific, readily available formula.
  • Monitoring of nutritional balance (sodium, potassium, nitrogen), body weight, and incidence of diarrhea.
  • Assessment of feeding tolerance and clinical improvement.

    • Main Results:

    • Patients received jejunostomy feed for 14, 21, and 23 days.
    • Positive sodium, potassium, and nitrogen balances were achieved in all patients.
    • No episodes of diarrhea were observed.
    • Patients experienced an increase in body weight.
    • The jejunostomy feed was successfully implemented when other venous access routes were compromised.

    Conclusions:

    • An easily prepared, inexpensive jejunostomy feed is effective for nutritional support in patients with duodenal fistulae.
    • This feeding method promotes positive nutrient balance and weight gain, preventing complications like diarrhea.
    • Jejunostomy feeding can serve as a critical, life-saving alternative when conventional feeding routes are unavailable or contraindicated.