Surgically placed gastro-jejunostomy tubes have fewer complications compared to feeding jejunostomy tubes.

Dennis C. Gore, Mark DeLegge, Alfred Gervin, Eric J. DeMaria

Research output: Contribution to journalArticle

21 Scopus citations

Abstract

Objective: During laparotomy, jejunostomy tubes (J tubes) are often placed to provide access for enteral nutrition in the immediate postoperative period. However, the placement of such tubes may be associated with potentially devastating intra-abdominal complications possibly related to the tenuous security of a tube through the small bowel wall. An alternative method for enteral nutrition access is to surgically place a 'PEG-J' tube (i.e., surgical G/J tube) thus providing for jejunal feedings via a gastrotomy without a jejunotomy. The purpose of this study is to assess whether surgically placed G/J tubes reduce the postoperative complications in comparison to feeding J tubes. Methods: Over the past 18 months, 92 J tubes and 56 G/J tubes were placed during laparotomy at a single institution and the method chosen by surgeons' preference. The frequency of complications associated with each tube was determined by review of the postoperative medical records. Results: There was no enteric leakage in those patient given G/J tubes (p < 0.05). Furthermore 10% of the patients receiving J tubes required operative repair of a J tube complication while no patient with an access complication following G/J tube placement required surgical repair (p < 0.05). Conclusions: These results demonstrate that operative positioning of a jejunal feeding tube through a gastrostomy tube (surgical G/J tube) provides a safer route for enteral nutrition than does direct tube placement via the jejunal wall, by significantly reducing both the incidence of enteric leakage and the requirement for operative repair.

Original languageEnglish (US)
Pages (from-to)144-146
Number of pages3
JournalJournal of the American College of Nutrition
Volume15
Issue number2
DOIs
StatePublished - Apr 1 1996
Externally publishedYes

Keywords

  • enteral nutrition access
  • gastro-jejunostomy tubes
  • jejunostomy tubes

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Food Science

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