title: Enteral feeding via jejunostomy as a cause of intestinal perforation and necrosis.
abstract: Jejunostomy for enteral feeding is excellent for patients who cannot manage oral intake, with a low complication rate. A Foley catheter, Ryle tube, Kerh tube or needle-catheter (Jejuno-Cath®) are commonly used. It is a safe procedure but it can lead to severe complications. We present two cases: firstly, an 80 year old male who was admitted to the Emergency Room with a bowel perforation secondary to Jejuno-Cath® for enteral feeding after a subtotal gastrectomy with Roux-en-Y reconstruction; and secondly, a 53 year old male who was admitted to the Emergency Room due to gastric perforation developing multiple complications, including bowel necrosis and enteral feeding impaction. We have reviewed the recent literature with regard to this rare complication.
authors.affiliation: Cirugía General, Hospital 12 de Octubre, España.
authors.forename: María Victoria
authors.initials: MV
authors.lastname: Vieiro Medina
authors.affiliation: Hospital Universitario 12 de Octubre.
authors.forename: Elias
authors.initials: E
authors.lastname: Rodríguez Cuéllar
authors.affiliation: Hospital Universitario 12 de Octubre.
authors.forename: Alfredo
authors.initials: A
authors.lastname: Ibarra Peláez
authors.affiliation: Hospital Universitario 12 de Octubre.
authors.forename: Dánae
authors.initials: D
authors.lastname: Gil-Díez
authors.affiliation: Hospital Universitario 12 de Octubre.
authors.forename: Felipe
authors.initials: F
authors.lastname: de la Cruz Vigo
mesh_terms: D000369:Aged, 80 and over; D000713:Anastomosis, Roux-en-Y; D004750:Enteral Nutrition / Q000009:adverse effects* / Q000379:methods; D017809:Fatal Outcome; D006801:Humans; D007416:Intestinal Perforation / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D007582:Jejunostomy / Q000009:adverse effects* / Q000379:methods; D008297:Male; D008875:Middle Aged; D009336:Necrosis