Novel cost-effective method of laparoscopic feeding-jejunostomy

A feeding jejunostomy tube placement is required for entral feeding in a variety of clinical scenarios. It offers an advantage over gastrostomies by eliminating the risk of aspiration. Standard described laparoscopic methods require special instrumentation and expensive custom-made tubes. We describ...

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Bibliographic Details
Published in:Journal of minimal access surgery 2009-04, Vol.5 (2), p.43-46
Main Authors: Mistry, Rajesh C, Mehta, Sanket S, Karimundackal, George, Pramesh, C S
Format: Article
Language:English
Subjects:
Advantages
Analysis
Control
Economic aspects
feeding procedure
feeding-jejunostomy
Health aspects
How I Do It
Intubation
Jejunostomy
Laparoscopic
Laparoscopic surgery
Laparoscopy
Medical care, Cost of
minimal-access
Ostomy
Parenteral nutrition
Stomach
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Description
Summary:A feeding jejunostomy tube placement is required for entral feeding in a variety of clinical scenarios. It offers an advantage over gastrostomies by eliminating the risk of aspiration. Standard described laparoscopic methods require special instrumentation and expensive custom-made tubes. We describe a simple cost-effective method of feeding jejunostomy using regular laparoscopic instruments and an inexpensive readily available tube. The average operating time was 35 min. We had no intra-operative complications and only one post-operative complication in the form of extra-peritoneal leakage of feeds due to a damaged tube. No complications were encountered while pulling out the tubes after an average period of 5-6 weeks.
ISSN:0972-9941
1998-3921
DOI:10.4103/0972-9941.55108