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Related Experiment Videos

Early postoperative nutritional support using the serosal tunnel jejunostomy.

L M Cobb, A M Cartmill, R B Gilsdorf

    JPEN. Journal of Parenteral and Enteral Nutrition
    |September 1, 1981
    PubMed
    Summary

    Silicone rubber serosal tunnel jejunostomy is safe for postoperative nutrition. While not all patients tolerate full-strength feeding, it effectively supports long-term nutritional needs, avoiding parenteral nutrition.

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    Area of Science:

    • Surgical Nutrition
    • Gastroenterology
    • Medical Devices

    Background:

    • Postoperative nutritional support is crucial for patient recovery after major surgery.
    • Traditional methods like intravenous fluid therapy may have limitations.
    • Jejunostomy feeding offers a potential route for early enteral nutrition.

    Purpose of the Study:

    • To evaluate the safety and efficacy of silicone rubber serosal tunnel jejunostomy for postoperative nutritional therapy.
    • To assess the tolerance and outcomes of early enteral feeding via jejunostomy in major surgical patients.

    Main Methods:

    • A silicone rubber serosal tunnel jejunostomy was placed in 38 patients undergoing major operations.
    • A dilute, chemically defined diet was initiated within 48 hours post-surgery.

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  • Dietary advancement was attempted over five days, with monitoring for tolerance and complications.

    • Main Results:

    • No catheter-related complications were observed.
    • Intravenous fluid therapy duration was reduced in 29% of patients.
    • Only 45% tolerated full-strength feedings within the protocol; 8% required support beyond 30 days, avoiding parenteral nutrition.
    • Septic or malnourished patients, particularly those with low serum albumin (<3 g/dl), experienced feeding intolerance.

    Conclusions:

    • Serosal tunnel jejunostomy is technically safe for postoperative feeding.
    • Feeding difficulties are anticipated in septic or severely malnourished patients.
    • The procedure offers significant benefits for patients requiring long-term nutritional support, warranting routine consideration in major operations.