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Subcutaneous Jejunostomy
Author(s) -
Bozzetti Federico,
Bignami Paola,
Cozzaglio Luca
Publication year - 1992
Publication title -
journal of parenteral and enteral nutrition
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.935
H-Index - 98
eISSN - 1941-2444
pISSN - 0148-6071
DOI - 10.1177/0148607192016003286
Subject(s) - jejunostomy , medicine , parenteral nutrition , enteral administration , surgery , dysphagia , port (circuit theory) , feeding tube , tube (container) , general surgery , mechanical engineering , electrical engineering , engineering
When the surgeon must obviate to an impending obstruction because of an unresectable tumor of the supramesocolic space and an intestinal bypass is not feasible, a jejunostomy is usually indicated. We describe a new method to provide enteral nutrition via a subcutaneous jejunostomy without any external device, which can be used only when the patient is at risk for developing an obstruction or dysphagia. The feeding tube is inserted into the jejunum and then connected to a Port‐a‐Cath lodged in a subcutaneous pocket. Subsequently, the nutrition can be delivered via a Huber needle inserted in the port, or, to minimize the need for strict aseptic surveillance, the tube can be exteriorized from the pocket and used as the usual tube jejunostomy. This procedure allows placing a precautionary jejunostomy without distortion of the body‐image. (Journal of Parenteral and Enteral Nutrition 16: 286–288, 1992)