Year 2017 / Volume 109 / Number 4
Case Report
Enteral feeding via jejunostomy as a cause of intestinal perforation and necrosis

298-300

DOI: 10.17235/reed.2017.4305/2016

María Victoria Vieiro Medina, Elias Rodríguez Cuéllar, Alfredo Ibarra Peláez, Dánae Gil-Díez, Felipe de la Cruz Vigo,

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.
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References
1- Har B, Shinde R, Saha D, et al. Iatrogenic jejunal perforation while FJ tube re-insertion: a rare complication of feeding jejunostomy tube reinsertion. Int J Sci Rep. 2015;1(1):92-93.
2- Myers JG, Page CP, Stewart RM, et al. Complicationsof Needle Catheter Jejunostomy in 2,022 Consecutive Applications. Am J Surg. 1995;170:547-551.
3- Waitzberg DL, Plopper C, Terra RM.
 Access Routes for Nutritional Therapy. World J. Surg. 2000;24,1468–1476.
4- De Gottardi A, Krahenbuhl L, Farhadi J, et al. Clinical experience of feeding through a needle catheter jejunostomy after major abdominal operations. Eur J Surg. 1999;165:1055-60.
5- Tapia J, Murguia R, Garcia G, et al. Jejunostomy: techniques, indications, and complications. World J Surg. 1999;23:596-602.
6- Mohamed AA, Fernández OA, Fernández JS, et al. Vías de acceso quirúrgico en nutrición enteral. Cir Esp. 2006;79(6):331-41.
7- Sorensen VJ, Rafidi F, Obeid FN. Perforation of the small bowel after insertion of feeding jejunostomy: a case report. JPEN J Parenter Enteral Nutr. 1987;11(2):202-4.
8- Spalding DRC, Behranwala KA, Straker P, et al. Non-occlusive small bowel necrosis in association with feeding jejunostomy after elective upper gastrointestinal surgery. Ann R Coll Surg Engl 2009; 91: 477–482.
9- Sarap AN, Sarap MD, Childers J. Small bowel necrosis in association with jejunal tube feeding. The Surgical Patient. JAAPA. Nov 2010;23(11).
10- Melis M, Fichera A, Ferguson MK. Bowel necrosis associated with early jejunal Tube Feeding: A Complication of Postoperative Enteral Nutrition. Arch Surg. 2006;141(7):701-704.
Citation tools
Vieiro Medina M, Rodríguez Cuéllar E, Ibarra Peláez A, Gil-Díez D, de la Cruz Vigo F. Enteral feeding via jejunostomy as a cause of intestinal perforation and necrosis. 4305/2016


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Publication history

Received: 05/03/2016

Accepted: 20/04/2016

Online First: 23/01/2017

Published: 31/03/2017

Article revision time: 43 days

Article Online First time: 324 days

Article editing time: 391 days


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