Jejunostomy is the surgical creation of an opening (stoma) through the skin at the front of the abdomen and the wall of the jejunum (part of the small intestine). It can be performed either endoscopically, or with open surgery.[1]
A jejunostomy may be formed following bowel resection in cases where there is a need to bypass the distal small bowel and/or colon due to a bowel leak or perforation. Depending on the length of jejunum resected or bypassed the patient may have resultant short bowel syndrome and require parenteral nutrition.[2]
A jejunostomy is different from a jejunal feeding tube. A jejunal feeding tube is an alternative to a gastrostomy feeding tube and is commonly used when gastric enteral feeding is contraindicated or carries significant risks. The advantage over a gastrostomy is its low risk of aspiration due to its distal placement. Disadvantages include small bowel obstruction, ischemia, and requirement for continuous feeding.[3]
^Pearce, C B; Duncan, HD (2002). "Enteral feeding. Nasogastric, nasojejunal, percutaneous endoscopic gastrostomy, or jejunostomy: Its indications and limitations". Postgraduate Medical Journal. 78 (918): 198–204. doi:10.1136/pmj.78.918.198. PMC 1742333. PMID 11930022.
^Nightingale, J; Woodward, JM; Small Bowel Nutrition Committee of the British Society of Gastroenterology (2006). "Guidelines for management of patients with a short bowel". Gut. 55 (Suppl 4): iv1–12. doi:10.1136/gut.2006.091108. PMC 2806687. PMID 16837533.
^Melis M1; Fichera A; Ferguson MK. (July 2006). "Bowel necrosis associated with early jejunal tube feeding: A complication of postoperative enteral nutrition". Arch Surg. 141 (7): 701–4. doi:10.1001/archsurg.141.7.701. PMID 16847244.{{cite journal}}: CS1 maint: numeric names: authors list (link)
Jejunostomy is the surgical creation of an opening (stoma) through the skin at the front of the abdomen and the wall of the jejunum (part of the small...
directly into the abdomen, such as a gastrostomy, gastrojejunostomy, or jejunostomy feeding tube. A nasogastric feeding tube or NG-tube is passed through...
to the jejunum ("gastro-jejunostomy") and attaching a loop of jejunum to the cystic duct to drain bile ("cholecysto-jejunostomy"). It can be performed...
may also be done by percutaneous endoscopic gastrostomy, or surgical jejunostomy. In patients whose intestinal absorptive surface is severely limited...
oropharyngeal swallowing mechanism including a nasogastric tube, gastrostomy, or jejunostomy. Some people with dysphagia, especially those nearing the end of life...
oral dietary modification, or if oral intake is not adequate through a jejunostomy feeding tube. Treatment includes dietary modifications, medications to...
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