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Journal of Parenteral and Enteral Nutrition
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Subcutaneous Jejunostomy

Federico Bozzetti, MD

Istituto Nazionale Tumori, Milan, Italy

Paola Bignami, MD

Istituto Nazionale Tumori, Milan, Italy

Luca Cozzaglio, MD

Istituto Nazionale Tumori, Milan, Italy

When the surgeon must obviate to an impending obstruction because of an unresectable tumor of the supramesocolic space and an intestinal bypass is not feasible, a jejunostomy is usually indicated. We describe a new method to provide enteral nutrition via a subcutaneous jejunostomy without any external device, which can be used only when the patient is at risk for developing an obstruction or dysphagia. The feeding tube is inserted into the jejunum and then connected to a Port-a-Cath lodged in a subcutaneous pocket. Subsequently, the nutrition can be delivered via a Huber needle inserted in the port, or, to minimize the need for strict aseptic surveillance, the tube can be exteriorized from the pocket and used as the usual tube jejunostomy. This procedure allows placing a precautionary jejunostomy without distortion of the body-image. (Journal of Parenteral and Enteral Nutrition 16: 286-288, 1992)

Journal of Parenteral and Enteral Nutrition, Vol. 16, No. 3, 286-288 (1992)
DOI: 10.1177/0148607192016003286
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This article has been cited by other articles:


Home page
 JPEN J Parenter Enteral NutrHome page
F. Bozzetti
Subcutaneous Jejunostomy
JPEN J Parenter Enteral Nutr, March 1, 1998; 22(2): 112 - 112.
[PDF]

Home page
 JPEN J Parenter Enteral NutrHome page
M. Maruyama
Response to Dr Bozzetti
JPEN J Parenter Enteral Nutr, March 1, 1998; 22(2): 112 - 112.
[PDF]