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Journal of Minimal Access Surgery
Medknow Publications
ISSN: 0972-9941 EISSN: 0972-9941
Vol. 5, No. 2, 2009, pp. 43-46
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Bioline Code: ma09012
Full paper language: English
Document type: Special Article
Document available free of charge
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Journal of Minimal Access Surgery, Vol. 5, No. 2, 2009, pp. 43-46
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Novel cost-effective method of laparoscopic feeding-jejunostomy
Mistry, Rajesh C.; Mehta, Sanket S.; Karimundackal, George & Pramesh, C S.
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.
Keywords
Laparoscopic, feeding-jejunostomy, minimal-access, feeding procedure
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