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Related Experiment Videos

Nutritional support by tube jejunostomy

H M Delany1

  • 1Department of Surgery, Albert Einstein College of Medicine, Bronx Municipal Hospital Center, NY 10461.

Journal of the Association for Academic Minority Physicians : the Official Publication of the Association for Academic Minority Physicians
|January 1, 1993
PubMed
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Jejunal feeding via orogastric intubation offers an alternative to parenteral nutrition for patients with impaired upper gastrointestinal function. This method utilizes the GI tract, potentially reducing adverse effects associated with intravenous nutrition.

Area of Science:

  • Gastroenterology
  • Clinical Nutrition
  • Surgical Procedures

Background:

  • Abnormal upper gastrointestinal function necessitates alternative nutrient delivery methods.
  • Jejunostomy feeding provides enteral access beyond the stomach, bypassing the upper GI tract.
  • It is considered an acceptable alternative to parenteral nutritional support.

Purpose of the Study:

  • To review the method of jejunal nutrient infusion.
  • To discuss its role as an alternative to parenteral nutrition.
  • To explore challenges and considerations in jejunal feeding.

Main Methods:

  • Nutrient infusion via orogastric intubation or surgical jejunostomy.
  • Administration of enteral feedings directly into the jejunum.

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  • Clinical application in patients with upper gastrointestinal dysfunction.

    • Main Results:

    • Jejunal feeding bypasses the stomach, biliary tract, pancreas, and duodenum.
    • Utilizing the GI tract may minimize adverse effects of total intravenous nutrition.
    • Technical difficulties and appropriate indications are key considerations.

    Conclusions:

    • Jejunal feeding is a viable alternative to parenteral nutrition.
    • Challenges include technical aspects, general indications, and use in surgical patients.
    • Ongoing research addresses timing, composition, and metabolic effects of jejunal infusions.