Jejunostomy Placement, Open and MIS Approaches

  • Frances C. Okolo
  • Paul K. Waltz
  • Stefan ScholzEmail author


This chapter describes the surgical procedure for open and laparoscopic placement of feeding jejunostomy tubes and buttons as performed by the following approaches: placement of jejunostomy tube with serosal tunnel, creation of omega pouch to accommodate button balloon, and creation of Roux-en-Y limb to accommodate jejunostomy button balloon. The text includes an introduction that outlines the indications, risks, alternatives, essential steps, needed equipment, and variations in technique for the procedure in question. This is followed by a template operative dictation, which provides the reader with an operative report, such as is found in a patient chart or electronic medical record. A description of the critical concepts and different techniques for this procedure is provided.


Pediatric surgery Operative dictation Enteral access Laparoscopic jejunostomy Jejunostomy Button 


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    Schalger A, Arps K, Siddharthan R, Rajdev P, Heiss K. The “omega” jejunostomy tube: a preferred alternative for postpyloric feeding access. J Pediatr Surg. 2016;51(2):260–3.CrossRefGoogle Scholar
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    Neuman H, Phillips JD. Laparoscopic Roux-en-Y feeding jejunostomy: a new minimally invasive surgical procedure for permanent feeding access in children with gastric dysfunction. J Laparoendosc Adv Surg Tech. 2005;15(1):71–4.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Frances C. Okolo
    • 1
  • Paul K. Waltz
    • 1
  • Stefan Scholz
    • 2
    Email author
  1. 1.University of Pittsburgh Medical Center, Department of General SurgeryPittsburghUSA
  2. 2.University of Pittsburgh School of Medicine, Children’s Hospital of Pittsburgh, Department of Pediatric SurgeryPittsburghUSA

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