Novel cost-effective method of laparoscopic feeding-jejunostomy

By: Dr. Sanket Mehta
Authors: Mistry RC, Karimundackal G, Pramesh CS.
Journal: Journal of Minimal Access Surgery
Start: August 20, 2009
Source: https://pubmed.ncbi.nlm.nih.gov/19727379/
DOI: 10.4103/0972-9941.55108

ABSTRACT

A feeding jejunostomy tube placement is required for entral feeding in a variety of clinical scenarios. It offers an advantage over gastrostomies by eliminating the risk of aspiration. Standard described laparoscopic methods require special instrumentation and expensive custom-made tubes.

We describe a simple cost-effective method of feeding jejunostomy using regular laparoscopic instruments and an inexpensive readily available tube. The average operating time was 35 min. We had no intra-operative complications and only one post-operative complication in the form of extra-peritoneal leakage of feeds due to a damaged tube. No complications were encountered while pulling out the tubes after an average period of 5-6 weeks.