Technical complications of feeding jejunostomy: a critical analysis.

Abstract

INTRODUCTION A retrospective review of patients undergoing feeding jejunostomy (FJ) was undertaken in order to evaluate procedure related complications and their impact on final outcome. PATIENTS AND METHODS Ninety six patients had FJ at the department of Surgical Gastroenterology, SGPGIMS from January 1989 to December 1995. RESULTS FJ as an adjunct was performed in 89 patients with predominantly oesophageal (n = 62) and pancreatic surgery (n = 17). Seven patients had FJ as the only procedure. Fifteen patients (15.2%) had complications related to FJ. Minor complications (7.2%) included dislodgement (n = 3), blockage of the tube (n = 2) and pericatheter leak (n = 2). Major complications (8.3%) which needed surgical intervention were, detachment of the jejunostomy from the abdominal wall (n = 3), leak into the peritoneal cavity (n = 3), jejunal perforation by the tip of the catheter (n = 1) and peritonitis after removal of the tube (n = 1). Procedure related mortality was 3.2%. CONCLUSIONS FJ should not be treated as a minor procedure and due attention to the technical details is required in its performance, otherwise it may well become the cause of a poor result following a very successful major operation.

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@article{Sonawane1997TechnicalCO, title={Technical complications of feeding jejunostomy: a critical analysis.}, author={Rajendra N Sonawane and Mahesh Thombare and Ankit Kumar and Sadiq Saleem Sikora and Renu Saxena and Vinay Kumar Kapoor and Sunil P Kaushik}, journal={Tropical gastroenterology : official journal of the Digestive Diseases Foundation}, year={1997}, volume={18 3}, pages={127-8} }