| HOW I DO IT |
|
| Year : 2009 | Volume
: 5
| Issue : 2 | Page : 43-46 |
Novel cost-effective method of laparoscopic feeding-jejunostomy
Rajesh C Mistry, Sanket S Mehta, George Karimundackal, CS Pramesh
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
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/0972-9941.55108
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.
[FULL TEXT] [PDF]*
|
