Objective: To determine the complication rate of feeding jejunostomy (FJ) performed as an adjunct to trauma celiotomy. Methods: Retrospective analysis of 222 patients from January of 1988 to May of 1998. Results: Thirty-seven total FJ-related complications occurred in 22 patients (10%). Major FJ-related complications occurred in nine patients (4%): two small bowel perforations, two small bowel volvuli with infarction, two intraperitoneal leaks, and three small bowel necroses. Patients suffering major FJ-related complications were similar to those without complications, except for the FJ type. Patients with major FJ-related complications were more likely to have had a Witzel tube jejunostomy than a needle catheter jejunostomy (p = 0.03). Three deaths were related to major FJ complications, for a FJ-related mortality rate of 1.4%. Conclusions: FJ has a major complication rate of 4% in severely injured patients. Major complications occur more frequently with larger, Witzel-type tubes. Needle catheter jejunostomy appears to he a safer method of surgical jejunal access in trauma patients.
|Original language||English (US)|
|Number of pages||4|
|Journal||Journal of Trauma - Injury, Infection and Critical Care|
|State||Published - Jan 1 1999|
- Feeding jejunostomy
ASJC Scopus subject areas
- Critical Care and Intensive Care Medicine