TITLE

Efficacy of Jejunogram after Jejunostomy Insertion

AUTHOR(S)
Puc, Matthew M.; Tran, Hoang
PUB. DATE
November 1999
SOURCE
American Surgeon;Nov1999, Vol. 65 Issue 11, p1097
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
The era of managed care has spawned a national debate over the allocation of health care resources. We hypothesized that routine postjejunostomy jejunogram rarely provides additional clinical information or changes patient management and, therefore, is unwarranted. We retrospectively reviewed the charts of 128 consecutive patients undergoing feeding jejunostomy tube insertion between January 1995 and December 1996. All patients had postinsertion jejunograms. Eighty-five (66%) of the jejunograms were performed after operative insertion of the jejunostomy, and 43 (33%) were performed after percutaneous reinsertion of a previously placed jejunostomy. Data extracted from the charts include age, sex, indication for jejunogram, length of time prior jejunostomy was in place at time of reinsertion, and results of jejunogram. There were no patients (0%) with misplaced jejunostomy or extravasation of dye, as noted on jejunogram. There were no management changes implemented as a result of jejunogram readings (P < <0.05). The use of routine jejunogram after operative insertion or reinsertion of a prior jejunostomy that has become dislodged or occluded does not alter patient management, incurs unnecessary costs, and, therefore, is unwarranted.
ACCESSION #
2460115

 

Related Articles

  • A simple method of feeding jejunostomy tube placement. Trotter, Timothy H.; Donahue, Edward J. // American Surgeon;Nov1997, Vol. 63 Issue 11, p1024 

    Reports a simple and economical method of feeding jejunostomy tube placement. Advantages of using the method of feeding jejunostomy tube placement.

  • jejunostomy.  // Taber's Cyclopedic Medical Dictionary (2009);2009, Issue 21, p1248 

    A definition of the term "jejunostomy" which refers to surgical creation of an opening into the jejunum, including definitions of related terms like needle catheter jejunostomy, percutaneous endoscopic jejunostomy and venting jejunostomy, is presented.

  • Jejunal mucosal abnormalities in patients with recurrent aphthous ulceration. Ferguson, R.; Basu, M.K.; Asquith, P.; Cooke, W.T. // British Medical Journal;1/3/1976, Vol. 1 Issue 6000, p11 

    Examines the jejunal mucosal abnormalities in patients with recurrent aphthous ulceration. Significance of gluten sensitivity in patients with recurrent aphthous ulceration; Importance of undergoing jejunal biopsy for patients with recurrent ulceration; .

  • Direct Percutaneous Endoscopic Jejunostomy in Patients with Altered Anatomy. Kav, Taylan // Archives of Iranian Medicine (AIM);Mar2012, Vol. 15 Issue 3, p176 

    The author discusses transillumination's importance as a placement site guide in patients who underwent gastrectomies. The author mentions direct percutaneous endoscopie jejunostomy (DPEJ) as an alternative to surgery. The author notes that all patients who have altered gastric anatomy should...

  • Microscopic colitis-a cause of chronic watery diarrhoea. Kingham, Jeremy G.C.; Levison, David A.; Ball, Joanna A.; Dawson, Anthony M. // British Medical Journal (Clinical Research Edition);12/4/1982, Vol. 285 Issue 6355, p1601 

    Examines the influence microscopic colitis on the development of chronic watery diarrhoea in patients. Use of barium,radiology and endoscopy in inflammatory bowel disease diagnosis; Difference between microscopic colitis and minimal change colitis; Association between overt ulcerative and...

  • Percutaneous Endoscopic Transgastric Jejunostomy: A New Approach. Melvin, Willie; Fernandez, Joss D. // American Surgeon;Mar2005, Vol. 71 Issue 3, p216 

    A percutaneous transgastric jejunostomy allows long-term simultaneous gastric decompression and jejunal feedings. We have developed a safe and effective bedside technique for placement of a large-bore (22 French) feeding tube while providing gastric drainage with no mortalities and minimal...

  • Direct Percutaneous Endoscopic Jejunostomy. Baron, Todd H. // American Journal of Gastroenterology;Jul2006, Vol. 101 Issue 7, p1407 

    The article focuses on direct percutaneous endoscopic jejunostomy (DPEJ) placement. The DPEJ placement is preferable because of the ability to place a larger diameter tube which can be anchored in the jejunum. An anti-peristaltic agent is necessary to be administered just after the insertion of...

  • Bovine pericardium buttress limits recanalization of the uncut roux-en-Y in a porcine model Morton, John M.; Lucktong, Tananchai A.; Trasti, Scott; Farrell, Timothy M. // Journal of Gastrointestinal Surgery;Jan2004, Vol. 8 Issue 1, p127 

    In contrast to the traditional Roux-en-Y reconstruction, an uncut Roux-en-Y provides biliopancreatic diversion and may preserve myoelectric continuity. Previous iterations of the uncut Roux have been plagued by recanalization of the uncut staple line in the afferent small bowel. Our aim was to...

  • THIS MONTH'S TECHNIQUE: Laparoscopic Bi-Directional Jejuno- Jejunostomy Anastomosis With a Linear Stapler. SHIKORA, SCOTT A. // Bariatric Times;Jun2012, Vol. 9 Issue 6, p8 

    The article offers information on the technique of constructing thejejuno-jejunostomy for laparoscopic Roux-en-Y gastric bypass surgery with a linear stapler. It informs that jejunum is divided with the linear cutting stapler after placing the patient in a supine position. It further informs...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics