WordNet
- surgical creation of an opening between the jejunum and the anterior abdominal wall; will allow artificial feeding
Wikipedia preview
出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2017/03/21 05:27:02」(JST)
[Wiki en表示]
| Jejunostomy |
| Intervention |
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Jejunostomy to anterior abdomen wall
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| ICD-9-CM |
46.32 |
| MeSH |
D007582 |
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[edit on Wikidata]
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Jejunostomy is the surgical creation of an opening (fistula) through the skin at the front of the abdomen and the wall of the jejunum (part of the small intestine). It can be performed either endoscopically, or with formal surgery.[1]
A jejunostomy may be formed following bowel resection in cases where there is a need for bypassing the distal small bowel and/or colon due to a bowel leak or perforation. Depending on the length of jejunum resected or bypassed the patient may have resultant short bowel syndrome and require parenteral nutrition.[2]
A jejunostomy is different from a jejunal feeding tube which is an alternative to a gastrostomy feeding tube commonly used when gastric enteral feeding is contraindicated or carries significant risks. The advantage over a gastrostomy is its low risk of aspiration due to its distal placement. Disadvantages include small bowel obstruction, ischemia, and requirement for continuous feeding.[3]
Techniques
The Witzel jejunostomy is the most common method of jejunostomy creation.[4] It is an open technique where the jejunosotomy is sited 30 cm distal to the Ligament of Treitz on the antimesenteric border, with the catheter tunneled in a seromuscular groove.
See also
- Colostomy
- Ileostomy
- Gastrostomy
- List of surgeries by type
References
- ^ Pearce, C B; Duncan, HD (2002). "Enteral feeding. Nasogastric, nasojejunal, percutaneous endoscopic gastrostomy, or jejunostomy: Its indications and limitations". Postgraduate Medical Journal. 78 (918): 198–204. doi:10.1136/pmj.78.918.198. PMC 1742333. PMID 11930022.
- ^ Nightingale, J; Woodward, JM; Small Bowel Nutrition Committee of the British Society of Gastroenterology (2006). "Guidelines for management of patients with a short bowel". Gut. 55 (Suppl 4): iv1–12. doi:10.1136/gut.2006.091108. PMC 2806687. PMID 16837533.
- ^ Melis M1, Fichera A, Ferguson MK. (July 2006). "Bowel necrosis associated with early jejunal tube feeding: A complication of postoperative enteral nutrition". Arch Surg. 141 (7): 701–4. doi:10.1001/archsurg.141.7.701. PMID 16847244.
- ^ Tapia J, Murguia R, Garcia G, de los Monteros PE, Oñate E (1999). "Jejunostomy: techniques, indications, and complications". World Journal of Surgery. 23 (6): 596–602. doi:10.1007/pl00012353. PMID 10227930.
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Surgical procedures involving the digestive system (ICD-9-CM V3 42–54, ICD-10-PCS 0D)
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| Digestive tract |
| Upper GI tract |
| SGs / Esophagus |
- Esophagectomy
- Heller myotomy
- Sialography
- Impedance–pH monitoring
- Esophageal pH monitoring
- Esophageal motility study
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| Stomach |
- Bariatric surgery
- Adjustable gastric band
- Gastric bypass surgery
- Sleeve gastrectomy
- Vertical banded gastroplasty surgery
- Collis gastroplasty
- Gastrectomy
- Billroth I
- Billroth II
- Roux-en-Y
- Gastroenterostomy
- Gastropexy
- Gastrostomy
- Percutaneous endoscopic gastrostomy
- Hill repair
- Nissen fundoplication
- Pyloromyotomy
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| Medical imaging |
- Endoscopy: Esophagogastroduodenoscopy
- Barium swallow
- Upper gastrointestinal series
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| Lower GI tract |
| Small bowel |
- Bariatric surgery
- Duodenal switch
- Jejunoileal bypass
- Bowel resection
- Ileostomy
- Intestine transplantation
- Jejunostomy
- Partial ileal bypass surgery
- Strictureplasty
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| Large bowel |
- Appendicectomy
- Colectomy
- Colonic polypectomy
- Colostomy
- Hartmann's operation
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| Rectum |
- Abdominoperineal resection / Miles operation
- Lower anterior resection
- Total mesorectal excision
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| Anal canal |
- Anal sphincterotomy
- Anorectal manometry
- Lateral internal sphincterotomy
- Rubber band ligation
- Transanal hemorrhoidal dearterialization
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| Medical imaging |
- Endoscopy: Colonoscopy
- Anoscopy
- Capsule endoscopy
- Enteroscopy
- Proctoscopy
- Sigmoidoscopy
- Abdominal ultrasonography
- Defecography
- Double-contrast barium enema
- Endoanal ultrasound
- Enteroclysis
- Lower gastrointestinal series
- Small-bowel follow-through
- Transrectal ultrasonography
- Virtual colonoscopy
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| Stool tests |
- Fecal fat test
- Fecal pH test
- Stool guaiac test
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| Accessory |
| Liver |
- Artificial extracorporeal liver support
- Bioartificial liver devices
- Liver dialysis
- Hepatectomy
- Liver biopsy
- Liver transplantation
- Portal hypertension
- Transjugular intrahepatic portosystemic shunt [TIPS]
- Distal splenorenal shunt procedure
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| Gallbladder, bile duct |
- Cholecystectomy
- Cholecystostomy
- ERCP
- Hepatoportoenterostomy
- Medical imaging: Cholangiography
- Cholecystography
- Cholescintigraphy
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| Pancreas |
- Frey's procedure
- Pancreas transplantation
- Pancreatectomy
- Pancreaticoduodenectomy
- Puestow procedure
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| Abdominopelvic |
| Peritoneum |
- Diagnostic peritoneal lavage
- Intraperitoneal injection
- Laparoscopy
- Omentopexy
- Paracentesis
- Peritoneal dialysis
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| Hernia |
- Hernia repair: Inguinal hernia surgery
- Femoral hernia repair
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| Other |
- Laparotomy
- Rapid urease test / Urea breath test
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| CPRs |
- MELD
- PELD
- UKELD
- Child–Pugh score
- Ranson criteria
- Milan criteria
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UpToDate Contents
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English Journal
- Laparo-Endoscopic Gastrostomy (LEG) Decompression: a Novel One-Time Method of Management of Gastric Leaks Following Sleeve Gastrectomy.
- Zachariah PJ1, Lee WJ2, Ser KH2, Chen JC2, Tsou JJ2.
- Obesity surgery.Obes Surg.2015 Nov;25(11):2213-8. doi: 10.1007/s11695-015-1856-7.
- BACKGROUND: Leakage is the most feared and challenging complication following laparoscopic sleeve gastrectomy (LSG) as it can either be life-threatening or lead to major morbidity. Its management can be very complex. Endoscopic stents seem to be the mainstay of the current modality of treatment but
- PMID 26344796
- Distal Enteral Feeding Helps Blood Sugar Control in Pancreatectomized Patients.
- Wu JM1, Yang CY2, Kuo TC2, Lai HS2, Chiang PY3, Hsieh SH3, Tien YW4.
- World journal of surgery.World J Surg.2015 Nov;39(11):2771-5. doi: 10.1007/s00268-015-3157-7.
- BACKGROUND: The change in the route of food passage after pancreaticoduodenectomy (PD) is quite similar to the change after gastric bypass surgery; both procedures bypass the duodenum and directly connect to the distal jejunum. Moreover, both procedures result in resolution of type 2 diabetes mellit
- PMID 26202290
- Endoscopic Management of Esophageal Anastomotic Leaks After Surgery for Malignant Disease.
- Licht E1, Markowitz AJ1, Bains MS2, Gerdes H1, Ludwig E1, Mendelsohn RB1, Rizk NP2, Shah P1, Strong VE2, Schattner MA3.
- The Annals of thoracic surgery.Ann Thorac Surg.2015 Sep 27. pii: S0003-4975(15)01108-X. doi: 10.1016/j.athoracsur.2015.06.072. [Epub ahead of print]
- BACKGROUND: Esophageal anastomotic leaks after cancer surgery remain a major cause of morbidity and mortality. Endoscopic interventions, including covered metal stents (cSEMS), clips, and direct percutaneous endoscopic jejunostomy (dPEJ) tubes are increasingly used despite limited published data reg
- PMID 26428689
Japanese Journal
- 白鳥 史明,谷島 聡,名波 竜規,鈴木 隆,大嶋 陽幸,前田 徹也,山崎 有浩,鷲澤 尚宏,島田 英昭,金子 弘真
- 日本外科系連合学会誌 36(4), 654-657, 2011-08-30
- NAID 10029685018
- 腸瘻造設・人工肛門造設術 (特集 基本的手術手技)
Related Links
- Jejunostomy is the surgical creation of an opening (fistula) through the skin at the front of the abdomen and the wall of the jejunum (part of the small intestine). It can be performed either endoscopically, or with formal surgery. [1] A ...
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