Open AccessLaparoscopic Witzel jejunostomy
Author(s) -
Marco Lotti,
M Capponi,
Denise Ferrari,
Giulia Carrara,
Luca Campanati,
A. Lucianetti
Publication year - 2021
Publication title -
journal of minimal access surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.379
H-Index - 26
eISSN - 0972-9941
pISSN - 1998-3921
DOI - 10.4103/jmas.jmas_248_19
Subject(s) - jejunostomy , medicine , enteral administration , laparoscopy , surgery , general surgery , parenteral nutrition , fibrous joint , abdominal wall , catheter
The placement of a feeding jejunostomy can be indicated in malnourished patients with gastric and oesophagogastric junction cancer to allow for enteral nutritional support. In these patients, the jejunostomy tube can be suitably placed at the time of staging laparoscopy. Several techniques of laparoscopic jejunostomy (LJ) have been described, yet the Witzel approach remains neglected, due to the perceived difficulty of suturing the bowel around the tube and securing them to the abdominal wall. Here, we describe a novel technique for LJ, using a single barbed suture for securing the bowel and tunnelling the jejunostomy catheter according to the Witzel approach.