Laparoscopic feeding jejunostomy: A systematic review

Han-Geurts, Ingrid J M; Lim, Arthur; Stijnen, T.; Bonjer, H. J.

doi:10.1007/s00464-003-2187-7

Cited by 66 publications

(43 citation statements)

References 37 publications

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“…Fundoplication (open or laparoscopic) with or without gastrostomy is a good option for children with the ability to swallow, even accepting the risk of failure of the fundoplication. It has been suggested that a feeding jejunostomy (open or laparoscopic) is a less complex procedure [16] and we indeed advocate it for the very high-risk ill children where major surgery carries a far greater risk. However, a feeding jejunostomy, although useful for nutrition, does not stop acid reflux with possible catastrophic consequences.…”

Section: Discussionmentioning

confidence: 94%

Total esophagogastric dissociation: 10 years' review

Morabito

Lall

Piccolo

et al. 2006

Journal of Pediatric Surgery

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Section: Discussionmentioning

confidence: 94%

Total esophagogastric dissociation: 10 years' review

Morabito

Lall

Piccolo

et al. 2006

Journal of Pediatric Surgery

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“…If present, an EGD and dilatation could be performed. Additionally, a feeding jejunostomy for postoperative nutritional support is imperative in the treatment of LSG leaks as described in the literature [6,10,34,35]. Feeding jejunostomy also permits avoidance, the excessive proximal flow that could increase the output of the leak.…”

Section: Discussionmentioning

confidence: 98%

T-Tube Gastrostomy as a Novel Approach for Distal Staple Line Disruption after Sleeve Gastrectomy for Morbid Obesity: Case Report and Review of the Literature

et al. 2009

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Laparoscopic sleeve gastrectomy has recently become a feasible option in the management of morbid obesity. One of the most feared complications of this procedure is staple line disruption and leakage. There are, to our knowledge, few literature reports that try to explain the reasons and management of this rare but serious complication. We report a case of staple line disruption that was managed using a T-tube gastrostomy. A 50-year-old female, 2 weeks status post-sleeve gastrectomy in an outside facility, was admitted to the emergency room at Cleveland Clinic Florida with new onset of fever, abdominal pain, jaundice, hematemesis, and melena. A computed tomography scan of the abdomen revealed a large extravasation of contrast material parallel to the gastric sleeve. A diagnostic laparoscopy was performed that showed a distal and proximal disruption of the staple line. A T-tube gastrostomy with a large proximal and distal limb was placed into the most distal area of disruption. After thorough over sewing and drainage of the proximal site and T-tube, a feeding jejunostomy was placed. The T-tube permitted to control the leak and to have a controlled fistula. Four weeks postoperatively, the T-tube was removed after the patient had a negative Gastrografin study and tolerated oral fluids with a clamped T-tube. The long-term recovery and follow-up were uneventful. T-tube gastrostomy appears to be a safe and feasible treatment option for staple line disruption after vertical sleeve gastrectomy. Early detection and drainage remain the most important principles to manage this type of complication.

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“…Viable technique that has replaced SOG is less invasive laparoscopic approach [75,76]. In patients undergoing laparotomy and who will need long tern gut access for nutrition support SOG or FJ should be done at the time of the operation.…”

Section: Laparoscopic Tube Placementmentioning

confidence: 99%