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 HOW I DO IT
Year : 2009  |  Volume : 5  |  Issue : 2  |  Page : 43-46

Novel cost-effective method of laparoscopic feeding-jejunostomy


Department of Thoracic Surgery, Tata Memorial Hospital, Mumbai, India

Correspondence Address:
Rajesh C Mistry
Department of Thoracic Surgery, Tata Memorial Hospital, E Borges Marg, Parel, Mumbai - 400 012
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-9941.55108

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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.






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