Knot formation in the feeding jejunostomy tube: A case report and review of the literature

Liao, Guo‐Shiou; Hsieh, Hsi‐Lung; Wu, Menghang; Chen, Teng-Wei; Yu, Jyh-Cherng; Liu, Yao–Chi

doi:10.3748/wjg.v13.i6.973

Cited by 19 publications

(15 citation statements)

References 12 publications

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“…However, various complications [2][3][4][5][6][7] have been reported with this procedure which can be categorized as Due to obstruction jejunostomy site there was closed loop obstruction in our case (esophageal stricture at other end) leading to gastric outlet obstruction. Since it is first time reported complication so no specific guidelines are available to treat this entity.…”

Section: Discussionmentioning

confidence: 99%

Gastric outlet obstruction: An unusual complication of feeding jejunostomy

Jethwani¹,

Bansal²

2014

IJCRI

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International Journal of Case Reports and Images (IJCRI) is an international, peer reviewed, monthly, open access, online journal, publishing high-quality, articles in all areas of basic medical sciences and clinical specialties.Aim of IJCRI is to encourage the publication of new information by providing a platform for reporting of unique, unusual and rare cases which enhance understanding of disease process, its diagnosis, management and clinico-pathologic correlations. IJCRI publishes Review

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Section: Discussionmentioning

confidence: 99%

Gastric outlet obstruction: An unusual complication of feeding jejunostomy

Jethwani¹,

Bansal²

2014

IJCRI

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“…The common complications of an open FJ include tube blockage, peritubal leak, wound infection, intraperitoneal leak, intestinal obstruction, tube migration, tube dislodgment and fistulations. [1][2][3][4][5] The complication of internal tube dislodgment and complete enteral migration is very rare and only a few case reports have been published on this topic till date. Complete enteral migration has been reported with a 28-F silicone catheter with a mushroom tip (Silastic Malecot catheter) 6 and an 18-F Levine's tube.…”

Section: Discussionmentioning

confidence: 99%

“…3 The procedure is associated with several mechanical, nutritional, metabolic complications and sepsis (Table 1). [4][5][6][7][8][9][10] Among the mechanical complications, tube blockage and dislodgment are well known. The complication of tube dislodgment is more commonly external displacement rather than internal migration.…”

Section: Introductionmentioning

confidence: 99%

A rare case of spontaneous anterograde migration of enteral feeding tube

Narendra¹,

Ramesh²,

RA³

2013

JCSR

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Feeding jejunostomy is done as a part of major upper gastrointestinal surgeries including oesophagectomy. The procedure is associated with various mechanical, nutritional, infective and metabolic complications. Complete enteral migration is a very rare complication. We describe the rare occurrence of complete internal dislodgement and migration of enteral feeding tube in a 55-year-old lady who underwent transthoracic oesophagectomy for oesophgaeal carcinoma with gastric pull-up and feeding jejunostomy and our experience with conservative management of this condition.

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“…Other rare complications reported are intussusception [33], jejunal perforation [34] and knot formation [35].…”

Section: Introductionmentioning

confidence: 99%

Study of Feeding Jejunostomy as an Add on Procedure in Upper Gastrointestinal Surgeries

Shenoy

Adapala

2013

Indian J Surg

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Jejunostomy is usually indicated as an additional procedure during major surgery of upper digestive tract to administer enteral nutrition in post-operative period. Complications associated with it can be mechanical, infectious, gastrointestinal or metabolic. The aim of the study was to evaluate safety of post-operative feeding jejunostomy in different types of major upper gastrointestinal surgeries. It was a prospective study conducted during the period between August 2009 and September 2011. Post-operative cases of major upper gastrointestinal surgeries who receive jejunostomy feeds were included in the study. Sampling was done by convenient method with sample size of 50 cases. Post-operatively, patients were monitored according to standard orders of enteral nutrition. Total calorie and protein intake through feeding jejunostomy was calculated regularly, and complications were assessed in terms of frequency, type, duration, management, and final outcome in different types of upper gastro intestinal surgeries. Analysis was done using chi square test with the help of statistical package SPSS vers.13. P < 0.05 was considered as significant. Complications observed were gastrointestinal −8 (16 %), mechanical −6 (12 %), infectious −4 (8 %) and metabolic −4 (8 %). Duration of complications ranged from 1 to 7 days (mean, 4 days). All types of complications observed during study were less severe and could be managed by simple measurements. Haemoglobin, serum albumin and weight of the patient at the time of discharge were improved for all patients when compared to pre-operative values. All patients received target calories and proteins through feeding jejunostomy. Considering benefits of enteral feeding via jejunostomy tube with minor and acceptable complications, we conclude that feeding jejunostomy is a preferred route of nutritional administration in those who undergo major upper gastro intestinal surgeries.

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Knot formation in the feeding jejunostomy tube: A case report and review of the literature

Cited by 19 publications

References 12 publications

Gastric outlet obstruction: An unusual complication of feeding jejunostomy

Gastric outlet obstruction: An unusual complication of feeding jejunostomy

A rare case of spontaneous anterograde migration of enteral feeding tube

Study of Feeding Jejunostomy as an Add on Procedure in Upper Gastrointestinal Surgeries

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