Replaceable Jejunal Feeding Tubes in Severely Ill Children.

Pang, Tabea; Sesia, Sergio Bruno; Holland-Cunz, Stefan; Mayr, Johannes (2017). Replaceable Jejunal Feeding Tubes in Severely Ill Children. Gastroenterology research and practice, 2017, p. 2090795. Hindawi Publishing Corporation 10.1155/2017/2090795

[img]
Preview
Text
Replaceable Jejunal Feeding Tubes in Severely Ill Children.pdf - Published Version
Available under License Creative Commons: Attribution (CC-BY).

Download (4MB) | Preview

Long-term enteral nutrition in chronically ill, malnourished children represents a clinical challenge if adequate feeding via nasogastric or gastrostomy tubes fails. We evaluated the usefulness and complications of a new type of surgical jejunostomy that allows for easier positioning and replacement of the jejunal feeding tube in children. We surgically inserted replaceable jejunal feeding tubes (RJFT) connected to a guide thread which exited through a separate tiny opening of the abdominal wall. In a retrospective case series, we assessed the effectiveness and complications of this technique in severely ill children suffering from malnutrition and complex disorders. Three surgical complications occurred, and these were addressed by reoperation. Four children died from their severe chronic disorders within the study period. The RJFT permitted continuous enteral feeding and facilitated easy replacement of the tube. After the postoperative period, jejunal feeding by RJFT resulted in adequate weight gain. This feeding access represents an option for children in whom sufficient enteral nutrition by nasogastric tubes or gastrostomy proved impossible. Further studies are required to investigate the safety and effectiveness of this surgical technique in a larger case series.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Gastro-intestinal, Liver and Lung Disorders (DMLL) > Clinic of Thoracic Surgery

UniBE Contributor:

Sesia, Sergio Bruno

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1687-6121

Publisher:

Hindawi Publishing Corporation

Language:

English

Submitter:

Thomas Michael Marti

Date Deposited:

16 Jul 2018 11:33

Last Modified:

22 Oct 2019 20:21

Publisher DOI:

10.1155/2017/2090795

PubMed ID:

28232847

BORIS DOI:

10.7892/boris.110000

URI:

https://boris.unibe.ch/id/eprint/110000

Actions (login required)

Edit item Edit item
Provide Feedback