Complications of needle catheter jejunostomy in 2,022 consecutive applications

John G Myers, Carey P. Page, Ronald M Stewart, Wayne H Schwesinger, Kenneth R Sirinek, J. Bradley Aust

Research output: Contribution to journalArticle

125 Citations (Scopus)

Abstract

Background: We commonly use needle catheter jejunostomy (NCJ) for early enteral feeding in selected patients. Review of our approach was prompted by the suggestion that enteral feeding represents a "stress test" for the bowel and may be associated with a high complication rate. Materials and methods: We reviewed patients with NCJ inserted over the past 16 years by prospective database, chart review, and conference minutes, with emphasis on complications. Results: During the conduct of 28,121 laparotomies, 2,022 NCJs inserted in 1,938 patients (7.2%) resulted in 34 NCJ-related complications in 29 patients (1.5%) The most common complication was premature loss of the catheter from occlusion or dislodgment (n = 15; 0.74%), and the most serious was bowel necrosis (n = 3; 0.15%). Conclusions: Needle catheter jejunostomy may be inserted and used with a low complication rate. Most complications were preventable through greater attention to detail and better monitoring of physical examination of patients with marginal gut function.

Original languageEnglish (US)
Pages (from-to)547-551
Number of pages5
JournalThe American Journal of Surgery
Volume170
Issue number6
DOIs
StatePublished - 1995

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Jejunostomy
Needles
Catheters
Enteral Nutrition
Exercise Test
Laparotomy
Physical Examination
Necrosis
Databases

ASJC Scopus subject areas

  • Surgery

Cite this

Complications of needle catheter jejunostomy in 2,022 consecutive applications. / Myers, John G; Page, Carey P.; Stewart, Ronald M; Schwesinger, Wayne H; Sirinek, Kenneth R; Bradley Aust, J.

In: The American Journal of Surgery, Vol. 170, No. 6, 1995, p. 547-551.

Research output: Contribution to journalArticle

Myers, John G ; Page, Carey P. ; Stewart, Ronald M ; Schwesinger, Wayne H ; Sirinek, Kenneth R ; Bradley Aust, J. / Complications of needle catheter jejunostomy in 2,022 consecutive applications. In: The American Journal of Surgery. 1995 ; Vol. 170, No. 6. pp. 547-551.
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