title: Novel cost-effective method of laparoscopic feeding-jejunostomy.
abstract: A feeding jejunostomy tube placement is required for entral feeding in a variety of clinical scenarios. It offers an advantage over gastrostomies by eliminating the risk of aspiration. Standard described laparoscopic methods require special instrumentation and expensive custom-made tubes. We describe a simple cost-effective method of feeding jejunostomy using regular laparoscopic instruments and an inexpensive readily available tube. The average operating time was 35 min. We had no intra-operative complications and only one post-operative complication in the form of extra-peritoneal leakage of feeds due to a damaged tube. No complications were encountered while pulling out the tubes after an average period of 5-6 weeks.
authors.affiliation: Department of Thoracic Surgery, Tata Memorial Hospital, Mumbai, India.
authors.forename: Rajesh C
authors.initials: RC
authors.lastname: Mistry
authors.forename: Sanket S
authors.initials: SS
authors.lastname: Mehta
authors.forename: George
authors.initials: G
authors.lastname: Karimundackal
authors.forename: C S
authors.initials: CS
authors.lastname: Pramesh