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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