Conversion of choledochojejunostomy stents to jejunal feeding tubes for postoperative enteral alimentation.
The problem of protein calorie malnutrition following major gastrointestinal surgery can be treated with central venous or enteric alimentation, with the latter being preferred. The authors describe a simple technique for the conversion of biliary stents placed after pancreaticoduodenal surgery into jejunal feeding tubes when the stenting function is no longer needed. Three illustrative cases are presented. In each case, the procedure took less than 30 min and had no associated morbidity. This technique allows early conversion from central venous to enteric alimentation without the need to create a second surgical enterostomy.
Burke
D R
DR
Department of Radiology, Hospital of the University of Pennsylvania, Philadelphia 19104.
Torosian
M H
MH
McLean
G K
GK
Meranze
S G
SG
Rosato
E F
EF
D000230:Adenocarcinoma / Q000601:surgery; D002759:Adenoma, Bile Duct / Q000601:surgery; D014670:Ampulla of Vater; D002768:Choledochostomy; D003138:Common Bile Duct Neoplasms / Q000601:surgery; D004750:Enteral Nutrition / Q000379:methods*; D006801:Humans; D007583:Jejunum; D010190:Pancreatic Neoplasms / Q000601:surgery; D011182:Postoperative Care; D011502:Protein-Energy Malnutrition / Q000517:prevention & control