Jejunostomy
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| Jejunostomy | |
|---|---|
| Intervention | |
| ICD-9-CM | 46.32 |
| MeSH | D007582 |
Jejunostomy refers to an artificial opening into the jejunum. It can be performed either endoscopically, or with formal surgery.[1]
A jejunostomy is usually formed following bowel resection resulting in short bowel syndrome. Depending on the length of jejunum remaining the patient may require parenteral nutrition.[2]
A jejunostomy may also be formed to allow feeding tube placement as an alternative to gastrostomy when the stomach is unsuitable. The advantage over a gastrostomy is its low risk of aspiration. Disadvantages include small bowel obstruction, ischemia, and requirement for continuous feeding.
References [edit]
- ^ Pearce, CB; Duncan HD (April 2002). "Enteral feeding. Nasogastric, nasojejunal, percutaneous endoscopic gastrostomy, or jejunostomy: its indications and limitations". Postgraduate Medical Journal 78 (918): 198–204. doi:10.1136/pmj.78.918.198. PMC 1742333. PMID 11930022.
- ^ Nightingale, JMD; Woodward JM (January 2006). "Guidelines for management of patients with a short bowel". British Society of Gastroenterology.
See also [edit]
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