Advanced Search

Journal Navigation

Journal Home

Subscriptions

Archive

Contact Us

Table of Contents

CiteULike is a free service for managing and discovering scholarly references - click here to get started.

Sign In to gain access to subscriptions and/or personal tools.
Journal of Parenteral and Enteral Nutrition
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Saved Citations
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Request Reprints
Right arrow Add to My Marked Citations
Citing Articles
Right arrow Citing Articles via Google Scholar
Right arrow Citing Articles via Scopus
Google Scholar
Right arrow Articles by Pacelli, F.
Right arrow Articles by Doglietto, G. B.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Pacelli, F.
Right arrow Articles by Doglietto, G. B.
Social Bookmarking
Add to CiteULike   Add to Complore   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati   Add to Twitter  
What's this?

Techniques, Materials, Devices

Emergency High-Loop Jejunostomy as Enteral Nutrition Access: A Simple and Safe Method

Fabio Pacelli, MD, Fabio Rotondi, MD, Fausto Rosa, MD, Maurizio Bossola, MD, Valerio Papa, MD, Antonio Pio Tortorelli, MD, Liliana Sollazzi, MD and Giovanni Battista Doglietto, MD

From the Department of Surgical Sciences, Digestive Surgery Unit, Catholic University, School of Medicine, Rome, Italy

Correspondence: Fabio Pacelli, MD, Digestive Surgery Unit, Istituto di Clinica Chirurgica, Catholic University, School of Medicine, Largo A. Gemelli, 8, 00168 Rome, Italy. Electronic mail may be sent to fpacelli{at}rm.unicatt.it.

Background: Emergency high-loop jejunostomies are seldom used for nutrition access in the clinical practice. Methods: This paper describes the results of a simple and safe technique that uses emergency high-loop jejunostomy as an enteral feeding access. A feeding tube is inserted into the efferent loop of the jejunostomy and then subcutaneously tunneled. In this way, whenever it becomes necessary, the bag collecting fluids from the afferent loop can be changed without removing the tube, which remains permanently inserted into the efferent loop and secured to the skin in order to avoid displacements. Results: Twenty-nine patients with high-loop jejunostomy were consecutively treated with the described technique during the period 2000–2006. The mean distance between the ligament of Treitz and tube was 38.3 ± 16.2 cm. After an induction period, all patients received full-strength enteral nutrition and were discharged after a mean of 25.1 ± 19.5 days of treatment. All patients were subsequently readmitted to our unit, and their ostomies were successfully closed. No major early and late complications were observed; particularly, no patient experienced local or systemic septic complications. Conclusion: From the analysis of our results, the described method for delivering enteral nutrition through an emergency high-loop ostomy proves easy to apply and clinically effective. Enteral nutrition can be started as soon as possible after operation through the efferent loop of the ostomy; the management of the jejunostomy is simple and safe, with no additional discomfort for the patients.

Journal of Parenteral and Enteral Nutrition, Vol. 32, No. 1, 94-97 (2008)
DOI: 10.1177/014860710803200194
Add to CiteULike CiteULike   Add to Complore Complore   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati   Add to Twitter Twitter    What's this?