Complications of surgical feeding jejunostomy in trauma patients

James H. Holmes IV, Susan I. Brundage, Pak Chuen Yuen, R. Alan Hall, Ronald V. Maier, Gregory Jurkovich

Research output: Contribution to journalArticle

56 Citations (Scopus)

Abstract

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 languageEnglish (US)
Pages (from-to)1009-1012
Number of pages4
JournalJournal of Trauma - Injury, Infection and Critical Care
Volume47
Issue number6
DOIs
StatePublished - Jan 1 1999
Externally publishedYes

Fingerprint

Jejunostomy
Wounds and Injuries
Needles
Catheters
Infarction

Keywords

  • Complications
  • Feeding jejunostomy
  • Nutrition
  • Trauma

ASJC Scopus subject areas

  • Surgery
  • Critical Care and Intensive Care Medicine

Cite this

Complications of surgical feeding jejunostomy in trauma patients. / Holmes IV, James H.; Brundage, Susan I.; Yuen, Pak Chuen; Hall, R. Alan; Maier, Ronald V.; Jurkovich, Gregory.

In: Journal of Trauma - Injury, Infection and Critical Care, Vol. 47, No. 6, 01.01.1999, p. 1009-1012.

Research output: Contribution to journalArticle

Holmes IV, James H. ; Brundage, Susan I. ; Yuen, Pak Chuen ; Hall, R. Alan ; Maier, Ronald V. ; Jurkovich, Gregory. / Complications of surgical feeding jejunostomy in trauma patients. In: Journal of Trauma - Injury, Infection and Critical Care. 1999 ; Vol. 47, No. 6. pp. 1009-1012.
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