title: A novel technique of permanent self-catheterizable feeding jejunostomy.
abstract: Long-term/permanent jejunal feeding in children and adults is prone to significant complications, such as leakage, skin excoriation, and difficulty in reinsertion after dislodgement of the jejunostomy tube. Our innovative jejunostomy technique uses a pedicle segment of jejunum, which is retubularized using the principle of Monti. The jejunal segment is reinserted through a submucosal tunnel back into the jejunum. The other end is brought out onto the abdominal wall. The technique achieves a continent catheterizable jejunal stoma for enteral feeding.
authors.affiliation: Department of Paediatric Surgery, Birmingham Children's Hospital, Birmingham, B4 6NH, United Kingdom. Ingo.Jester@bch.nhs.uk
authors.forename: Ingo
authors.initials: I
authors.lastname: Jester
authors.forename: Michael
authors.initials: M
authors.lastname: Singh
authors.forename: Dakshesh H
authors.initials: DH
authors.lastname: Parikh
mesh_terms: D000015:Abnormalities, Multiple / Q000601:surgery; D002404:Catheterization / Q000379:methods*; D004380:Duodenal Obstruction / Q000601:surgery; D004947:Esophagus / Q000002:abnormalities; D005260:Female; D006551:Hernia, Hiatal / Q000601:surgery; D006801:Humans; D007231:Infant, Newborn; D007409:Intestinal Atresia; D007582:Jejunostomy / Q000379:methods*; D012648:Self Care; D054047:Surgical Stomas; D014132:Trachea / Q000002:abnormalities