Small bowel necrosis associated with early postoperative jejunal tube feeding in a trauma patient.
Several investigators have reported the association of small bowel ischemia and necrosis with needle catheter jejunostomy. We report a case of small bowel necrosis with continuous jejunal tube feeding and review the pathogenesis implicated in feeding-induced bowel necrosis.
Department of Surgery, Tufts University School of Medicine, Baystate Medical Center, Springfield, Massachusetts 01199-0001, USA. imtiaz.munshi@BHS.org
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Munshi
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Steingrub
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Wolpert
D000063:Accidents, Traffic; D004750:Enteral Nutrition / Q000009:adverse effects*; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D007579:Jejunal Diseases / Q000209:etiology* / Q000473:pathology / Q000601:surgery*; D007582:Jejunostomy / Q000009:adverse effects*; D007583:Jejunum / Q000098:blood supply / Q000473:pathology* / Q000601:surgery; D008875:Middle Aged; D009336:Necrosis; D010179:Pancreas / Q000601:surgery; D013156:Splenectomy