Authors: Monica T Young Hung Troung Alana Gebhart Anderson Shih Ninh T Nguyen
Publish Date: 2015/03/24
Volume: 30, Issue: 1, Pages: 126-131
Abstract
Jejunostomy catheters for jejunal feeding are an effective method to improve nutritional status in malnourish patients However this procedure is commonly being performed using an open approach which can be associated with more postoperative pain and prolonged recovery The objective of this study was to assess the outcomes of patients who underwent placement of feeding jejunostomy using a laparoscopic approachA retrospective review was performed of patients who underwent laparoscopic jejunostomy tube placement between 1998 and 2014 Main outcome measures included indication for catheter placement rate of conversion rate to open surgery perioperative and late morbidity and inhospital mortalityTwo hundred and ninetynine consecutive patients underwent laparoscopic jejunostomy during the study period The mean age was 64 years and 81 of patients were male The mean BMI was 262 kg/m2 The most common indications for catheter placement were resectable esophageal cancer 78 unresectable esophageal cancer 10 and gastric cancer 6 There were no conversions to open surgery The 30day complication rate was 40 and included catheter dislodgement 1 intraperitoneal catheter displacement 07 catheter blockage 1 or breakage 03 site infection requiring catheter removal 07 and abdominal wall hematoma 03 The late complication rate was 87 and included jejunocutaneous fistula 37 jejunostomy tube dislodgement 33 broken or clogged Jtube 13 and small bowel obstruction 03 The 30day mortality was 03 for a patient with stage IV esophageal cancer who died in the postoperative period secondary to respiratory failureDr Ninh Nguyen received an educational grant paid to the Department of Surgery University of California Irvine from Cook Group Inc Cook Medical Dr Monica Young Dr Hung Troung Alana Gebhart and Anderson Shih have no conflict of interests or financial ties to disclose
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