Jejunostomy - Wikipedia

Jejunostomy is the surgical creation of an opening (stoma) through the skin at the front of the abdomen and the wall of the jejunum It can be performed ... Jejunostomy FromWikipedia,thefreeencyclopedia Jumptonavigation Jumptosearch JejunostomyJejunostomytotheabdomenwallICD-9-CM46.32MeSHD007582[editonWikidata] Jejunostomyisthesurgicalcreationofanopening(stoma)throughtheskinatthefrontoftheabdomenandthewallofthejejunum(partofthesmallintestine).Itcanbeperformedeitherendoscopically,orwithopensurgery.[1] Ajejunostomymaybeformedfollowingbowelresectionincaseswherethereisaneedtobypassthedistalsmallboweland/orcolonduetoabowelleakorperforation.Dependingonthelengthofjejunumresectedorbypassedthepatientmayhaveresultantshortbowelsyndromeandrequireparenteralnutrition.[2] Ajejunostomyisdifferentfromajejunalfeedingtube.Ajejunalfeedingtubeisanalternativetoagastrostomyfeedingtubeandiscommonlyusedwhengastricenteralfeedingiscontraindicatedorcarriessignificantrisks.Theadvantageoveragastrostomyisitslowriskofaspirationduetoitsdistalplacement.Disadvantagesincludesmallbowelobstruction,ischemia,andrequirementforcontinuousfeeding.[3] Techniques[edit] TheWitzeljejunostomyisthemostcommonmethodofjejunostomycreation.[4]Itisanopentechniquewherethejejunosotomyissited30 cmdistaltotheLigamentofTreitzontheantimesentericborder,withthecathetertunneledinaseromusculargroove[citationneeded] References[edit] ^Pearce,CB;Duncan,HD(2002)."Enteralfeeding.Nasogastric,nasojejunal,percutaneousendoscopicgastrostomy,orjejunostomy:Itsindicationsandlimitations".PostgraduateMedicalJournal.78(918):198–204.doi:10.1136/pmj.78.918.198.PMC 1742333.PMID 11930022. ^Nightingale,J;Woodward,JM;SmallBowelNutritionCommitteeoftheBritishSocietyofGastroenterology(2006)."Guidelinesformanagementofpatientswithashortbowel".Gut.55(Suppl4):iv1–12.doi:10.1136/gut.2006.091108.PMC 2806687.PMID 16837533. ^MelisM1,FicheraA,FergusonMK.(July2006)."Bowelnecrosisassociatedwithearlyjejunaltubefeeding:Acomplicationofpostoperativeenteralnutrition".ArchSurg.141(7):701–4.doi:10.1001/archsurg.141.7.701.PMID 16847244.{{citejournal}}:CS1maint:usesauthorsparameter(link) ^TapiaJ,MurguiaR,GarciaG,delosMonterosPE,OñateE(1999)."Jejunostomy:techniques,indications,andcomplications".WorldJournalofSurgery.23(6):596–602.doi:10.1007/pl00012353.PMID 10227930. vteOstomysystemProcedures Colostomy Ileostomy Jejunostomy Ostomysystem Ostomybag vteTestsandproceduresinvolvingthedigestivesystemDigestivesystemsurgeryDigestivetractUpperGItractSGs/Esophagus Esophagectomy Hellermyotomy Sialography Impedance–pHmonitoring EsophagealpHmonitoring Esophagealmotilitystudy FunctionalLumenImagingProbe Highresolutionmanometry Stomach Sengstaken–Blakemoretube) Nasogastrictube Gastriclavage Bariatricsurgery Adjustablegastricband Endoscopicsleevegastroplasty Gastricbypasssurgery Sleevegastrectomy Verticalbandedgastroplastysurgery Collisgastroplasty Gastrectomy BillrothI BillrothII Roux-en-Y Gastroenterostomy Gastropexy Gastrostomy Percutaneousendoscopicgastrostomy Esophagogastricdissociation Hillrepair Nissenfundoplication Pyloromyotomy Schillingtest Medicalimaging Endoscopy Esophagogastroduodenoscopy Bariumswallow Uppergastrointestinalseries LowerGItractSmallbowel Bariatricsurgery Duodenalswitch Jejunoilealbypass Bowelresection Ileostomy Intestinetransplantation Jejunostomy Partialilealbypasssurgery Strictureplasty Largebowel Appendectomy Colectomy Colonicpolypectomy Colostomy Hartmann'soperation Rectum Abdominoperinealresection Loweranteriorresection Totalmesorectalexcision Analcanal Analsphincterotomy Anorectalmanometry Lateralinternalsphincterotomy Rubberbandligation Transanalhemorrhoidaldearterialization Medicalimaging Endoscopy:Colonoscopy Anoscopy Capsuleendoscopy Enteroscopy Proctoscopy Sigmoidoscopy Abdominalultrasonography Defecography Double-contrastbariumenema Endoanalultrasound Enteroclysis Lowergastrointestinalseries Small-bowelfollow-through Transrectalultrasonography Virtualcolonoscopy Stooltests Fecalfattest FecalpHtest Stoolguaiactest AccessoryLiver Artificialextracorporealliversupport Bioartificialliverdevices Liverdialysis Hepatectomy Liverbiopsy Livertransplantation Portalhypertension Transjugularintrahepaticportosystemicshunt[TIPS] Distalsplenorenalshuntprocedure Gallbladder,bileduct Cholecystectomy Cholecystostomy ERCP Hepatoportoenterostomy Medicalimaging:Cholangiography IV MRCP PTC Cholecystography Cholescintigraphy Pancreas Frey'sprocedure Pancreastransplantation Pancreatectomy Pancreaticoduodenectomy Puestowprocedure AbdominopelvicPeritoneum Diagnosticperitoneallavage Intraperitonealinjection Laparoscopy Omentopexy Paracentesis Peritonealdialysis Hernia Herniarepair Inguinalherniasurgery Femoralherniarepair Other Laparotomy Exploratorylaparotomy Rapidureasetest/Ureabreathtest Clinicalpredictionrules MELD PELD UKELD Child–Pughscore Ransoncriteria Milancriteria Thismedicaltreatment–relatedarticleisastub.YoucanhelpWikipediabyexpandingit.vte Retrievedfrom"https://en.wikipedia.org/w/index.php?title=Jejunostomy&oldid=1064683996" 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