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Percutaneous trans-stomal jejunostomy: a new technique

  • Technical Note
  • Published:
Updates in Surgery Aims and scope Submit manuscript

Abstract

Aim

We propose a new technique for feeding a malnourished patient with a “high” double-barrel jejunostomy (at about 60 cm from the Treitz Ligament). The procedure aims to restore an adequate nutritional state maintaining a correct diet for 24 h a day, without complications and without interfering with the normal activity of the nurses caring for the stoma.

Method

Using local anesthesia, we introduced a Reverdin needle through the efferent loop of jejunostomy and externalized it through the skin, medially from jejunostomy of about 10 cm. Using this guide, we inserted an enteral feeding tube with a blunt tip and then introduced it through the efferent loop to reach about 40 cm distantly into the bowel.

Results

The stoma output decreased from 3 to 1.5 L/day; kidney status was restored to normal function.

Conclusion

The main advantages are the minimal invasiveness of the implantation procedure, the possibility of nutrition during all 24 h, and the easy management by nurses.

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Abbreviations

EF:

Enteral feeding

PN:

Parenteral nutrition

TPN:

Total parenteral nutrition

FKT:

Physiotherapy

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Author information

Authors and Affiliations

  1. Department of Human Pathology of the Adult and Evolutive Age “Gaetano Barresi”, Section of General Surgery Unit, University of Messina, Via Consolare Valeria, 98125, Messina, Italy

    Carmelo Mazzeo PhD, Francesco Fleres, Santino Antonio Biondo & Eugenio Cucinotta

Authors
  1. Carmelo Mazzeo PhD
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  2. Francesco Fleres
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  3. Santino Antonio Biondo
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  4. Eugenio Cucinotta
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Contributions

MC, FF, and CE participated in the conception and design of the report. MC, FF, BSA, and CE drafted the paper and analyzed the report. MC and FF performed the surgical procedure. MC, FF, BSA, and CE have been involved in the diagnosis, surgical management, and follow-up of the patient. BSA edited the video.

Corresponding author

Correspondence to Francesco Fleres.

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Conflict of interest

The authors declare no competing interests regarding the publication of this paper.

Ethical approval

The authors declare that all the procedures followed comply with the ethical standards of the committee on human experimentation (both institutional and national) and with the Helsinki Declaration of 1975, as revised in 2013. Informed consent was obtained from the patients for being included in the study.

Informed consent

Written informed consent was obtained from the patients ahead of the publication.

Data availability

The authors declare that all data generated or analysed during this study are included in this published article [and its supplementary information files].

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Mazzeo, C., Fleres, F., Biondo, S.A. et al. Percutaneous trans-stomal jejunostomy: a new technique. Updates Surg 75, 261–264 (2023). https://doi.org/10.1007/s13304-022-01431-1

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  • DOI: https://doi.org/10.1007/s13304-022-01431-1

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