Clinical experience of feeding through a needle catheter jejunostomy after major abdominal operations.
Détails
Etat: Public
Version: Final published version
Licence: Non spécifiée
ID Serval
serval:BIB_7B5A46B9D337
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Clinical experience of feeding through a needle catheter jejunostomy after major abdominal operations.
Périodique
The European journal of surgery = Acta chirurgica
ISSN
1102-4151 (Print)
ISSN-L
1102-4151
Statut éditorial
Publié
Date de publication
11/1999
Peer-reviewed
Oui
Volume
165
Numéro
11
Pages
1055-1060
Langue
anglais
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Publication Status: ppublish
Résumé
To report our incidence of local and systemic complications after needle-catheter jejunostomy.
Retrospective analysis.
University hospital, Switzerland.
100 patients (70 men and 30 women; mean age 65 years, range 42-90) had needle-catheter jejunostomy for postoperative enteral feeding. 26 developed catheter-related and 18 nutrition-related complications. Most of the complications were minor (lumenal obstruction of the catheter or local cellulitis) and only 3 patients needed reoperation, 2 because the catheter broke with extravasation of the nutrition formula into the subcutaneous tissue, and the other because of a small bowel obstruction. There was no small bowel necrosis and no patient died as a direct result of the jejunostomy. Overall, 92 patients were fed enterally according to the protocol, and 8 required removal of the catheter.
Needle-catheter jejunostomy gives a safe and effective access for postoperative enteral feeding. Minor technical complications are common and can be reduced by a meticulous insertion technique and careful postoperative management. Regular clinical surveillance may reduce the incidence of nutrition-related complications.
Retrospective analysis.
University hospital, Switzerland.
100 patients (70 men and 30 women; mean age 65 years, range 42-90) had needle-catheter jejunostomy for postoperative enteral feeding. 26 developed catheter-related and 18 nutrition-related complications. Most of the complications were minor (lumenal obstruction of the catheter or local cellulitis) and only 3 patients needed reoperation, 2 because the catheter broke with extravasation of the nutrition formula into the subcutaneous tissue, and the other because of a small bowel obstruction. There was no small bowel necrosis and no patient died as a direct result of the jejunostomy. Overall, 92 patients were fed enterally according to the protocol, and 8 required removal of the catheter.
Needle-catheter jejunostomy gives a safe and effective access for postoperative enteral feeding. Minor technical complications are common and can be reduced by a meticulous insertion technique and careful postoperative management. Regular clinical surveillance may reduce the incidence of nutrition-related complications.
Mots-clé
Adult, Aged, Aged, 80 and over, Enteral Nutrition/methods, Female, Humans, Jejunostomy, Male, Middle Aged, Postoperative Care, Retrospective Studies, Surgical Procedures, Operative
Pubmed
Web of science
Open Access
Oui
Création de la notice
11/12/2018 12:01
Dernière modification de la notice
08/05/2023 10:21
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