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 journalArticlepeer-review

57 Scopus citations

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

Keywords

  • Complications
  • Feeding jejunostomy
  • Nutrition
  • Trauma

ASJC Scopus subject areas

  • Surgery
  • Critical Care and Intensive Care Medicine

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