Interlocking box jejunostomy: a new technique for enteral feeding.
A new jejunostomy tube placement technique is described and compared to traditional methods. The interlocking box technique was compared to a simple purse-string with jejunopexy and an inverting serosal tunnel (Witzel technique) with jejunopexy. Procedures performed in fresh canine cadavers were fluid pressure tested following tube removal. Mean+/-standard deviation (SD) intraluminal pressure necessary to induce leakage at the jejunopexy site of the interlocking box group (87.63+/-40.56 cm H2O) was significantly greater (p less than 0.001) than the simple purse-string (43.17+/-31.69 cm H2O) and serosal tunnel (46.33+/-23.60 cm H2O) groups. Significant differences were not identified between the latter groups. The interlocking box technique resisted leakage following acute removal better than conventional techniques and should be tested clinically.
Daye
R M
RM
Department of Small Animal Surgery and Medicine, Small Animal Clinic, Auburn University, Alabama 36849-5523, USA.
Huber
M L
ML
Henderson
R A
RA
D000704:Analysis of Variance; D000818:Animals; D002102:Cadaver; D004285:Dogs / Q000601:surgery*; D004750:Enteral Nutrition / Q000379:methods / Q000662:veterinary*; D007582:Jejunostomy / Q000379:methods / Q000662:veterinary*; D011897:Random Allocation