Complications of Jejunostomy Feeding Tubes: A Single Center Experience of 546 Cases
Autor: | Robert C.G. Martin, Conor H. O’Neill, Jaclyn Moore, Prejesh Philips |
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Rok vydání: | 2020 |
Předmět: |
medicine.medical_specialty
medicine.medical_treatment Jejunostomy Nutritional Status Single Center Enteral administration 03 medical and health sciences Enteral Nutrition 0302 clinical medicine medicine Humans Adverse effect Intubation Gastrointestinal Retrospective Studies business.industry Gastroenterology Jejunostomy feeding Perioperative Surgery Parenteral nutrition 030220 oncology & carcinogenesis Tube placement 030211 gastroenterology & hepatology business |
Zdroj: | Journal of Gastrointestinal Surgery. 24:959-963 |
ISSN: | 1873-4626 1091-255X |
DOI: | 10.1007/s11605-020-04529-2 |
Popis: | Adequate perioperative nutrition is critical for the success of surgical outcomes. Jejunostomy feeding tube placement may ensure enteral feeding access; however, these types of tubes have had variable reported rates of dysfunction/morbidity. The aim of our study was to report our experience with jejunostomy feeding tube placement and the long-term outcomes following complex foregut surgery. We performed a review of all of our jejunostomy feeding tube placement patients from 1/1/2010 until 7/1/2018. The indication for surgery and primary operation were recorded. All adverse events related to the jejunostomy were recorded during the entire duration of tube access. Social “hassle-factor” issues were also reported, including the number of “jejunostomy-related” phone calls, reinsertion and related placement studies, and readmissions pertaining to jejunostomy-associated complications. During the study period, 542 primary procedures were performed with secondary jejunostomy placement. Jejunostomy-related adverse events occurred in 22.0% of patients (n = 119/542); 12.0% (n = 65/542) were dislodged tubes, 6.0% (n = 30/542) clogged tubes; 5% (n = 25/542) leaking tubes, and 2.8% (n = 15/542) site infections. Tube dysfunctions initiated 244 reinsertion/placement studies in 107 patients, 20 jejunostomy tube-related readmissions, and 78 phone calls to providers for tube dysfunction. Adverse event rates differed significantly between groups (p |
Databáze: | OpenAIRE |
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