Laparoscopic feeding jejunostomy with longitudinal serosa tunnelling

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S. C. M. R. M. M.-T. Cadiere Benjamin, Cadiere Guy-Bernard, Byabene, Gloire à Dieu, “Laparoscopic feeding jejunostomy with longitudinal serosa tunnelling”, ijmhs, vol. 10, no. 07, pp. 1139–1145, Jul. 2020.
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Abstract

Background: Laparoscopic feeding jejunostomy is an intervention that
consist in placement of a feeding tube into the proximal jejunum. This
tube allows to nourish a patient who is unable to have a sufficient oral
intake. The digestive tract needs to be functional.
Methods: A retrospective review was performed on 15 patient who
underwent our technique of laparoscopic feeding jejunostomy with
longitudinal serosae tube tunnelling as Witzel technique from January
2018 to January 2020. We evaluate the results in term of postoperative
complications and morbidity. The surgical follow up of the patients
was of 2 months. We evaluate the postoperative results of the operative
technique, not the nutritional or the oncological outcomes. Statistical
analysis was performed using Microsoft Office 2019.
Results: The analysis of the result revealed that postoperatively 2/15 patients
presented tube obstruction and 2/15 patients presented accidental
removal of the tube, 1/15 patient presented a local skin inflammation
around the tube and 1/15 patient presented an intolerance to the enteral
fluid.
Conclusions: The results of the study reveals that this operative technique
is feasible and safe with low morbidity, but due to the small
number of patients included, further studies are necessaries to validate
our results.
Keywords: feeding jejunostomy, operative technique, laparoscopic approach

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