Button-Loop Feeding Jejunostomy

  • Alejandro R. Ruiz-Elizalde
  • Jason S. Frischer
  • Robert A. Cowles
how i do it



Post-pyloric feeding via a surgical jejunostomy allows for enteral nutrition in patients that cannot receive oral or gastric feeding. Regardless of the technique used to create a jejunostomy, complications such as tube dislodgement, jejunostomy closure, or bowel obstruction can occur.

Surgical Technique

We present a simple and efficient jejunostomy technique that does not require a sewn anastomosis and employs an easily exchangeable feeding button.


Jejunostomy Technique Feeding Button Loop Surgical 



The authors would like to thank Nancy Heim, Columbia University for providing significant assistance in developing the artwork used in this manuscript.


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Copyright information

© The Society for Surgery of the Alimentary Tract 2008

Authors and Affiliations

  • Alejandro R. Ruiz-Elizalde
    • 1
  • Jason S. Frischer
    • 1
  • Robert A. Cowles
    • 1
  1. 1.Division of Pediatric Surgery, Morgan Stanley Children’s Hospital of New York-PresbyterianColumbia University Medical CenterNew YorkUSA

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