Thursday, March 8, 2012

PROCEDURES 5 Jejunostomy


Jejunostomy

Objective

To provide a route for parenteral nutrition

Position

Supine

Anesthesia

General or local

Procedure

*locate a proximal loop of jejunum close to deudeno-jejunal flexure
 (DJ)
*Select a site 15-20 cm from DJ
*Through a stab wound on antimesenteric border introduce a carheter
 14F foley
*Close the opening around the catheter with catgut suture
*Bury the catheter in a short tunnel in the wall
*Bring out the catheter through a stab wound in the abdominal wall.

Instruments.
Gastro intestinal set
Foley 14 F

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