jejunostomy

Indications: -> long-term enteral feedings a) impaired gastric emptying b) requires continuous drip with pump Procedure: 1) percutaneous placement endoscopically or radiographically via pylorus or surgically into the jejunum 2) sutured into the abdominal wall using fine-bore tube or larger tube Complications: 1) clogging or displacement of tube 2) jejunal fistula if large-bore tube used 3) diarrhea 4) peritonitis 5) GI bleed 6) ileus 7) bowel obstruction 8) bowel perforation

References

Harrison's Principles of Internal Medicine, 14th ed. Fauci et al (eds), McGraw-Hill Inc. NY, 1998, pg 479