[Laparoscopic fine needle catheter jejunostomy].
Gastrostomy or jejunostomy allow a safe and effective long-term enteral nutritional support. In patients with stenosis of the upper gastrointestinal tract the percutaneous endoscopic route is frequently not feasible. In these cases a laparoscopic approach is proposed. In 18 patients (n = 18) mostly with recurrent tumors of the upper gastrointestinal tract a laparoscopic catheter was placed into the jejunum without complications. Enteral feeding was started on the first day after catheter placement. One patient experienced a cathetersite infection. We describe a modified technique of laparoscopic jejunostomy the placement which is easy, effective and less invasive.
Senkal
M
M
Chirurgische Klinik, Ruhruniversität, St. Josef Hospital, Bochum.
Bauer
K H
KH
Kemen
M
M
Zumtobel
V
V
D002408:Catheters, Indwelling; D004750:Enteral Nutrition / Q000295:instrumentation*; D005770:Gastrointestinal Neoplasms / Q000628:therapy; D006801:Humans; D007582:Jejunostomy / Q000295:instrumentation*; D020706:Laparoscopes; D009339:Needles; D016896:Treatment Outcome