Friday, August 1, 2014

SURGICAL PROCEDURE 5 Jejunostomy


5.  Jejunostomy
Objective
To provide a route for enteral nutrition.
Position
Supine.
Anesthesia
General or Local.
Procedure
•   Locate a proximal loop of jejunum at the duodenojejunal flexure (D-J)
•   Select a site 15-20 cm from D-J flexure
•   Through a stab incision on the antimesenteric border, put in a catheter
•   Close the incision around stab using catgut sutures
•   Create a valve by burying the tube in a short tunnel in the jejunal wall. Take care not to narrow jejunal lumen
•   Bring out tube through a stab in anterior abdominal wall.
Instruments
•   Gastrointestinal set, 1
•   Catheter, 14 F.

Any questions be sent to drmmkapur@gmail.com
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