Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Roux-en-Y jejunostomy in the pediatric population

N R Yoshida1, E M Webber, D A Gillis

  • 1Izaak Walton Killam Hospital for Sick Children, Halifax, Nova Scotia, Canada.

Journal of Pediatric Surgery
|June 1, 1996
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

H-type tracheoesophageal fistula.

Journal of pediatric surgery·2001
Same author

Comparative genomic hybridization detects multiple chromosomal amplifications and deletions in undifferentiated embryonal sarcoma of the liver.

Cancer genetics and cytogenetics·2001
Same author

Presentation of low anorectal malformations beyond the neonatal period.

Pediatrics·2000
Same author

Undifferentiated embryonal sarcoma of the liver: results of clinical management in one center.

Journal of pediatric surgery·1999
Same author

Primary Swenson pull-through compared with multiple-stage pull-through in the neonate.

Journal of pediatric surgery·1999
Same author

Perforated lymphoma of the colon in an immunosuppressed child.

Medical and pediatric oncology·1999
Same journal

Illness Uncertainty in Caregivers of Children with Esophageal Atresia: Determinants and Item-Level Patterns in a Cross-Sectional Study.

Journal of pediatric surgery·2026
Same journal

Posterior Tracheopexy for Pediatric Tracheomalacia: A Global Evidence Synthesis and Meta-analysis.

Journal of pediatric surgery·2026
Same journal

Reimagining the Surgical Safety Checklist Through a Pediatric Lens.

Journal of pediatric surgery·2026
Same journal

Bridge Fixation Provides Consistent Implant Stability Across Surgical Techniques: A Multicenter Study.

Journal of pediatric surgery·2026
Same journal

National Benchmarks for Penetrating Head Injury in U.S. Children and Adolescents: Mechanism, Intent, and Disparities in Mortality.

Journal of pediatric surgery·2026
Same journal

Long-Term Growth and Neurodevelopmental Outcomes of a Standardized Gastroschisis Feeding Protocol: a retrospective cohort study.

Journal of pediatric surgery·2026
See all related articles

The modified Maydl approach for Roux-en-Y jejunostomy feeding tubes is preferred over the Brook-style due to fewer reoperations for complications like prolapse and leakage in pediatric patients.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Surgical Nutrition

Background:

  • Surgical nutrition access is crucial for pediatric disorders, with jejunostomy often preferred over other methods.
  • Gastroesophageal reflux, delayed gastric emptying, and fundoplication risks influence the choice of jejunostomy.
  • Roux-en-Y jejunostomy configuration mitigates issues associated with simple loop jejunostomy.

Purpose of the Study:

  • To compare the outcomes of two Roux-en-Y jejunostomy stoma types: Brook-style and modified Maydl (Stamm-style).
  • To evaluate complication rates and identify the preferred method for pediatric feeding jejunostomy at the authors' institution.

Main Methods:

  • Retrospective review of 22 Roux-en-Y jejunostomies performed over 27 months.
  • Comparison between Brook-style (intubatable) and modified Maydl (permanently intubated) stoma types.

Related Experiment Videos

  • Analysis of significant complications requiring reoperation for each stoma type.

    • Main Results:

    • Three (33%) patients with Brook-style jejunostomies required reoperation for prolapse, leakage, or perforation.
    • No patients with modified Maydl jejunostomies required reoperation, though stoma care challenges were noted.
    • The modified Maydl approach demonstrated a lower rate of severe complications necessitating surgical intervention.

    Conclusions:

    • The modified Maydl approach for Roux-en-Y jejunostomy is associated with fewer significant complications requiring reoperation compared to the Brook-style.
    • The modified Maydl approach is the preferred method for creating feeding jejunostomies in pediatric patients at this institution.
    • While the modified Maydl stoma requires careful management, its safety profile regarding major complications is superior.