Roux-en-Y feeding jejunostomy in infants and children
| Autor: | I. D. Sugarman, D. C. G. Crabbe, A. Borsellino, A. R. Williams |
|---|---|
| Rok vydání: | 2007 |
| Předmět: |
medicine.medical_specialty
Adolescent Fistula medicine.medical_treatment Jejunostomy Anastomosis Enteral administration Enteral Nutrition medicine Humans Abscess Child Retrospective Studies business.industry Infant Retrospective cohort study Anastomosis Roux-en-Y medicine.disease Roux-en-Y anastomosis Gastrostomy Surgery Child Preschool Pediatrics Perinatology and Child Health business |
| Zdroj: | European journal of pediatric surgery : official journal of Austrian Association of Pediatric Surgery ... [et al] = Zeitschrift fur Kinderchirurgie. 17(1) |
| ISSN: | 0939-7248 |
| Popis: | Roux-en-Y jejunostomy (RYJ) permits enteral feeding in children unable to tolerate oral or intragastric feeds. It avoids many of the complications of nasojejunal and gastrojejunal tubes. Here we report our experience of intubated RYJ. By retrospective review of patient notes from 1998 - 2003, thirty-five children were identified. The median age was seven months (1 month - 16 years) and median follow-up was twenty-five months (1 - 55 months). There were no early postoperative complications or deaths. There were eighteen (51 %) late complications: peristomal leak (6), peristomal infection (2), bilious vomiting (5), tube displacement (3), abscess (1) and jejuno-colic fistula (1). Five children progressed to full oral feeds and had the RYJ resected. Fourteen of the twenty-eight children still alive remain fed by RYJ. Nine infants subsequently underwent fundoplication and gastrostomy with RYJ resection. Seven children died during the study period. RYJ is a straightforward procedure which can be performed safely in the face of poor nutrition and significant comorbidity. We recommend RYJ as a medium-term measure for enteral feeding. |
| Databáze: | OpenAIRE |
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