Prospective evaluation of the safety and efficacy of laparoscopic jejunostomy.

Published

Journal Article

We prospectively assessed the safety and efficacy of laparoscopic jejunostomy done by 11 surgeons in 8 medical centers using the T-fastener technique. In all, 23 men and 13 women aged 19 to 84 (mean, 59) years required enteral feeding, but could not undergo gastrostomy and had no contraindication to laparoscopy. Of these patients, 12 had head and neck cancer and 11 had neurologic swallowing dysfunction. The procedure took 25 to 180 minutes (mean, 75). Three (8%) early cases were converted to open jejunostomy because of accidental enterotomies caused by inappropriate techniques that were avoided in later cases. Minor technical problems, such as passing a needle through the back wall of the jejunum, occurred in 7 patients, but they were easily corrected and produced no complications. Feedings were routinely begun within 24 hours of the surgical procedure. All jejunostomy catheters functioned well. This is a safe and effective technique when done by experienced laparoscopic surgeons, and serious complications are rare.

Full Text

Duke Authors

Cited Authors

  • Duh, QY; Senokozlieff-Englehart, AL; Siperstein, AE; Pearl, J; Grant, JP; Twomey, PL; Gadacz, TR; Prinz, RA; Wolfe, BM; Soper, NJ

Published Date

  • February 1995

Published In

Volume / Issue

  • 162 / 2

Start / End Page

  • 117 - 122

PubMed ID

  • 7725683

Pubmed Central ID

  • 7725683

International Standard Serial Number (ISSN)

  • 0093-0415

Language

  • eng

Conference Location

  • United States