Intraperitoneal infusion as a complication of needle catheter feeding jejunostomy.
The needle catheter feeding jejunostomy is being increasingly utilized for postoperative nutritional support. We report a case of catheter dislodgement with intraperitoneal infusion of an elemental diet with subsequent peritonitis and death. A review of the literature reveals this complication to occur in 1.5% of patients, even when the serosa of the small bowel has been attached to the anterior abdominal wall. Recommendations are made regarding the prevention and management of such complications.
D000230:Adenocarcinoma / Q000150:complications / Q000628:therapy; D000368:Aged; D002408:Catheters, Indwelling / Q000009:adverse effects*; D005526:Food, Formulated; D006801:Humans; D007583:Jejunum / Q000601:surgery; D008297:Male; D010538:Peritonitis / Q000209:etiology / Q000401:mortality; D011182:Postoperative Care; D013274:Stomach Neoplasms / Q000150:complications / Q000628:therapy