title: [Laparoscopic fine needle catheter jejunostomy].
abstract: 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.
authors.affiliation: Chirurgische Klinik, Ruhruniversität, St. Josef Hospital, Bochum.
authors.forename: M
authors.initials: M
authors.lastname: Senkal
authors.forename: K H
authors.initials: KH
authors.lastname: Bauer
authors.forename: M
authors.initials: M
authors.lastname: Kemen
authors.forename: V
authors.initials: V
authors.lastname: Zumtobel
mesh_terms: 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