TECHNIQUE OF JEJUNOSTOMY
E. Târcoveanu
First Surgical Clinic, „St. Spiridon” Hospital Iasi
University of Medicine and Pharmacy Iasi
Jurnalul de chirurgie 2005; 1 (2):206-213
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Abstract:
Feeding difficulties is an important problem of some patients (postoperative
feeding in major interventions, acute pancreatitis etc.). Many of
these patients are managed by jejunostomy.
This paper presents the surgical technique for temporary or permanent
jejunostomy by laparoscopic and open approach. Standard technique
is Witzel jejunostomy but in some cases it is indicated other types
of interventions: Stamm, Liffmann, Albert or Roux jejunostomy. It
is also presented postoperative complications.
Jejunostomy is a safe and effective procedure for enteral feeding
but this operation has some „critical technique points”.
KEYWORDS: JEJUNOSTOMY, LAPAROSCOPIC
PROCEDURES, TEMPORARY OR PERMANENT JEJUNOSTOMY
Correspondence: Prof. Dr. Eugen Târcoveanu, Clinica
I Chirurgie, Spitalul „Sf. Spiridon” Iasi, Bd. Independentei
nr. 1, Iasi, 700111, e-mail:etarco@iasi.mednet.ro
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